scholarly journals FAKTOR-FAKTOR PENYEBAB RESIKO JATUH PADA PASIEN DI BANGSAL NEUROLOGI RSUP DR. M DJAMIL PADANG

2018 ◽  
Vol 8 (2) ◽  
pp. 133-141
Author(s):  
Julimar
Keyword(s):  
Data Entry ◽  
Physical Injury ◽  
High Likelihood ◽  
Data Collection Tool ◽  
Risk Of Falling ◽  
Patient Factors ◽  
Physiological Factors ◽  
Organization And Management ◽  
Risk Of Falls ◽  
Work Environment Factors

The risk of falling is possible for someone to fall which can cause physical injury that is generally caused by environmental and physiological factors that can result in injury. The incidence of the risk of falls that occurred in the Hospital Dr. M Djamil in 2015 as much as 0.5%. The incidence of the risk of falling inIndonesia in January to September 2012 amounted to 14%. The high likelihood that a patient runs the risk of falling is influenced by several factors, one of which factors from the patient's own. The purpose of this study to find out what are the factors that greatly affect the safety of patients, especially in thedepartment of neurology ward. Dr. M Djamil Padang. This research was conducted in July-August 2016 for the department. Dr. M Djamil Padang. This research uses descriptive analytical method. The population in this study were nurses who are specifically in the department of Neurology ward. Dr. M Djamil Padang with a sample size of 16 people were taken by total sampling. Data collection tool is a questionnaire. Processing of data by editing, coding, data entry, and tabulating. Analysis of the data used univariate data analysis. The results of this study found that the factors that cause the risk of falls in patients include: more than half (75%) of respondents rate the organization and management of high factor, more than half (68.75%) of respondents valued the work environment factors, most of all (94%) of respondents rated high factor of the team, more than half (75%) of respondents rated higher personnel factor, less than half (37.5%) of respondents low duty factor, all (100%) of respondents rated high patient factors, and more than half (56.25%) of respondents low rate communication factor. For nurses who value high ratings may be influenced by the style of good leadership in taking any decision, the existence of good cooperation between the heads of the room with the nurse, and their examination environment around the patient. Researchers suggested that nurses still maintain good performance in carrying out its duties and researchers expect that number causes the risk of falling in the neurology ward, especially Hospital Dr. M Djamil Padang reduced.

scholarly journals Assessment of muscle mass, risk of falls and fear of falling in elderly people with diabetic neuropathy

2015 ◽  
Vol 28 (4) ◽  
pp. 677-683 ◽  
Author(s):  
Hudson Azevedo Pinheiro ◽  
Karla Helena Coelho Vilaça ◽  
Gustavo de Azevedo Carvalho
Keyword(s):  
Diabetic Neuropathy ◽  
Lean Body Mass ◽  
Muscle Mass ◽  
Body Mass ◽  
Fear Of Falling ◽  
Berg Balance Scale ◽  
Elderly Adults ◽  
Risk Of Falling ◽  
Risk Of Falls ◽  
History Of

Abstract Objective : To assess muscle mass, risk of falls and fear of falling in elderly adults with diabetic neuropathy (DNP). Methods : 50 elderly patients with diabetes mellitus (DM) and diabetic neuropathy (NPD) participated in this study. Risk of falling was assessed using the Berg Balance Scale (BBS). Fear of falling was assessed by means of the Falls Efficacy Scale-International (FES-I). Muscle mass was assessed by tetrapolar bioimpedance analysis (BIA) and Janssen's equation. Subjects were divided into two groups: one with a history of falls in the six months before study enrollment (G1) and the other without history of falls (G2). Results : There were statistically significant differences between G1 and G2 regarding lean body mass (p < 0.05), risk of falls as measured by the BBS (p < 0.01), and fear of falling as measured by the FES-I (p < 0.01). In addition, there was a significant correlation between the BBS and BIA (r = 0.45 and p < 0.01), showing that the greater the lean body mass, the lower the risk of falling. Conclusions : We found an association between lean mass, risk of falls and fear of falling in elderly adults with DNP and a history of falls from own height.

Tension Bands Placed on the Thigh and Shank Produce Changes in the Knee Flexion Moment and Gait Asymmetry

2009 ◽  
Author(s):  
Ariel V. Dowling ◽  
Nathan Fenner ◽  
Thomas P. Andriacchi
Keyword(s):  
Quality Of Life ◽  
Knee Flexion ◽  
Daily Living ◽  
Risk Of Falling ◽  
Substantial Impact ◽  
Gait Asymmetry ◽  
Flexion Moment ◽  
Risk Of Falls ◽  
Tension Bands

Decreased symmetry in walking mechanics is common to many conditions associated with falling, such as muscle weakness, poor balance or flexibility, dizziness or vertigo, confusion, and vision problems [1]. Falls and the risk of falls have a substantial impact on the quality of life with aging. More than one in three adults over 65 years experience falls each year, and in half of these cases the falls are recurrent [2,3]. As patients with asymmetric gait are at a greater risk of falling during activities of daily living such as walking [1], conducting experiments on methods to correct gait asymmetries on this cohort can be potentially dangerous. However, experiments conducted with healthy patients that have an induced gait asymmetry during walking would minimize the risk to the unhealthy population while still allowing the researcher to test a subject with a gait asymmetry.

scholarly journals Instrumented Analysis of the Sit-to-Stand Movement for Geriatric Screening: A Systematic Review

2020 ◽  
Vol 7 (4) ◽  
pp. 139
Author(s):  
Brajesh Shukla ◽  
Jennifer Bassement ◽  
Vivek Vijay ◽  
Sandeep Yadav ◽  
David Hewson
Keyword(s):  
Systematic Review ◽  
At Risk ◽  
Older People ◽  
Search Strategy ◽  
Risk Of Falling ◽  
Sit To Stand ◽  
Risk Of Falls ◽  
Geriatric Screening ◽  
Meta Analyses ◽  
Future Work

The Sit-to-Stand (STS) is a widely used test of physical function to screen older people at risk of falls and frailty and is also one of the most important components of standard screening for sarcopenia. There have been many recent studies in which instrumented versions of the STS (iSTS) have been developed to provide additional parameters that could improve the accuracy of the STS test. This systematic review aimed to identify whether an iSTS is a viable alternative to a standard STS to identify older people at risk of falling, frailty, and sarcopenia. A total of 856 articles were found using the search strategy developed, with 12 articles retained in the review after screening based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Six studies evaluated the iSTS in fallers, five studies in frailty and only one study in both fallers and frailty. The results showed that power and velocity parameters extracted from an iSTS have the potential to improve the accuracy of screening when compared to a standard STS. Future work should focus on standardizing the segmentation of the STS into phases to enable comparison between studies and to develop devices integrated into the chair used for the test to improve usability.

scholarly journals Diabetic Foot Ulcers and Risk Fall in People with Type 2 Diabetes Mellitus in BLUD RSUD Dr. Ben Mboi Manggarai Regency, NTT

2021 ◽  
Vol 16 (3) ◽  
Author(s):  
Oliva Suyen Ningsih ◽  
Kornelia Romana Iwa ◽  
Maria Getrida Simon ◽  
Kataria Anastasia Sinar
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Diabetic Foot ◽  
Foot Ulcers ◽  
P Value ◽  
Diabetic Foot Ulcers ◽  
Risk Of Falling ◽  
Risk Of Falls

The prevalence of diabetes mellitus in Manggarai Regency in 2019 is 535 people and some of them have diabetic foot ulcers. Patients with diabetic foot ulcers had a higher risk of falling than others.This study was to determine the risk factors for diabetic foot ulcers and the risk of falls in patients with type 2 diabetes mellitus. A quantitative study using a cross-sectional study was conducted at BLUD RSUD dr. Ben Mboi  in April-June 2020 (n = 51).The sampling technique used was purposive sampling with a questionnaire of diabetic foot screening and risk stratification form and Morse scale. Logistic regression results showed that there was a significant relationship between claudication (AOR: 8.409, 95% CI 1.664-42.500, p value 0.010), history of previous diabetic foot ulcers (AOR: 5,680, 95% CI 1,151-28,035, p value 0.033) with diabetic foot ulcers. There was a significant relationship between hypertension (AOR: 0.152, 95% CI 0.028-0.834, p value 0.030), diabetic foot ulcers (AOR: 11.392, 95% CI 1.277-101.651, p value 0.029) with the risk of falling for patients with type 2 diabetes mellitus.  Assessment of the risk of diabetic foot ulcers and the risk of falls should be done in patients with diabetes mellitus with or without neuropathy peripheral

scholarly journals Evaluation of the Implementation of the Prevention of Patients at Risk of a Fall in the General Hospital Melati Perbaungan

2021 ◽  
Vol 8 (10) ◽  
pp. 358-365
Author(s):  
Priska Nancy Claudia Bali ◽  
Ermi Girsang ◽  
Ali Napiah Nasution
Keyword(s):  
At Risk ◽  
General Hospital ◽  
Sampling Technique ◽  
Phenomenological Approach ◽  
Initial Assessment ◽  
Risk Of Falling ◽  
Physiological Factors ◽  
Depth Interview ◽  
Patients At Risk ◽  
Patient At Risk

The risk of falling is an increased chance of falling which can later lead to physical injury. The risk of falling is every patient who is at risk for falling which is generally caused by environmental and physiological factors. The purpose of this study was to evaluate the implementation of prevention of patients at risk of falling at RSU Melati Perbaungan. This type of research used in this research is a type of qualitative research with a phenomenological approach. Data obtained by using in-depth interview guidelines (depth interview) to the respondents. The population is all nurses in the inpatient room of RSU Melati Perbaungan. The sample used non probability sampling with purposive sampling technique of 10 nurses. From the results, it can be concluded that the nurse understands the assessment of the risk patient, the nurse understands the initial assessment of the patient at risk of falling, the nurse understands the reassessment of the patient at risk of falling, the nurse understands the inhibiting factors (patient, family, and nurse factors), the nurse understands the supporting factors (factors motivation and infrastructure factors). The recommendations obtained based on the author's analysis are the need to conduct education and training for the nurse administrators, increase the number of human resources and education for the patient's family regarding the prevention of falling risk patients. Keywords: Melati Perbaungan General Hospital, Patient at Risk of Falling, In-depth Interview, Hospitalization.

scholarly journals Assessment of Risk Factors for Falls among Patients with Parkinson’s Disease

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Jacek Wilczyński ◽  
Magdalena Ścipniak ◽  
Kacper Ścipniak ◽  
Kamil Margiel ◽  
Igor Wilczyński ◽  
...  
Keyword(s):  
Risk Factors ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
High Risk ◽  
Fear Of Falling ◽  
External Factors ◽  
Low Risk ◽  
Risk Of Falling ◽  
Risk Of Falls ◽  
Risk Factors For Falls

Introduction. The aim of this study was to assess the risk factors for falls in patients with Parkinson’s disease. Materials and Methods. The study comprised 53 participants (52.8% women and 47.2% men). The Hoehn and Yahr 5-point disability scale was used to assess the severity of Parkinson’s disease. The Tinetti Balance and Gait Scale were used to evaluate the risk of falls. The Katz scale was used to test the independence of people with PD. The Falls Efficacy Scale-International Short Form (FES-I) was implemented to assess fear of falling. Results. The majority of participants was at a high risk of falls, being at the same level for women and men. A significant relationship was noted between the risk of falls and subjective assessment of mobility ( χ 2 = 31.86 , p < 0.001 ), number of falls ( χ 2 = 37.92 , p < 0.001 ), independence of the subjects ( χ 2 = 19.28 , p < 0.001 ), type of injury suffered during the fall ( χ 2 = 36.93 , p < 0.001 ), external factors ( χ 2 = 33.36 , p < 0.001 ), and the level of fear of falling ( χ 2 = 8.88 , p < 0.001 ). A significant relationship also occurred between the number of falls and the fear of falling ( χ 2 = 33.49 , p < 0.001 ) and between the number of falls and disease severity ( χ 2 = 45.34 , p < 0.001 ). The applied physiotherapy did not reduce the risk of falls ( χ 2 = 3.18 , p = 0.17 ). Conclusions. Individuals who rated their mobility as good or excellent were at a low risk of falls. People who fell more times were at a high risk of falling. People more independent were at a low risk of falls. Previous injuries were the most associated with being at risk of falling. Uneven surfaces and obstacles on one’s path are the external factors most associated with the risk of falling. People with low levels of fall anxiety were at a low risk of falls. Most people with low fall anxiety have never fallen. Additionally, the majority of patients with stage 1 of the disease have not fallen at all. The reason for the ineffectiveness of physiotherapy may be due to the exercise programs used and the lack of systematic implementation of them. PD is different for each patient; thus, it is important to select individually customized physiotherapy depending on motor and nonmotor symptoms, as well as general health of a patient.

scholarly journals Nurse's interventions in preventing falls in hospitalized children: scoping review

2020 ◽  
Vol 73 (suppl 6) ◽  
Author(s):  
Alexandra Margarida Ribeiro Brás ◽  
Margarida Maria de Sousa Lourenço Quitério ◽  
Elisabete Maria Garcia Teles Nunes
Keyword(s):  
Hospital Admission ◽  
Scoping Review ◽  
Preventive Measures ◽  
Nursing Interventions ◽  
Hospitalized Children ◽  
Sources Of Information ◽  
Risk Of Falling ◽  
Risk Of Falls ◽  
Paediatric Age ◽  
Humpty Dumpty

ABSTRACT Objectives: map both nursing interventions for the prevention of falls in paediatric age during hospitalization and the instruments for assessing the risk of falls in paediatrics. Methods: scoping review according to the protocol of Joanna Briggs Institute, with acronym PCC (P - children, C - fall preventive nursing interventions and instruments for assessing the risk of falling, C - hospital admission), in three sources of information (EBSCO, PubMed and SciELO). Results: the sample consisted of seven articles. The education of the child/family is the basis of the interventions, and the instruments for assessing the risk of falling identified were: Humpty Dumpty Falls Scale, GRAF PIF, CUMMINGS, I'M SAFE and CHAMPS. Conclusions: the education of children/parents on preventive measures is important and should be reinforced during hospitalization, using different methodologies. The Humpty Dumpty Falls Scale was the most analyzed.

scholarly journals Falls among patients with hypertension - preliminary study

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
N Swiatoniowska-Lonc ◽  
E Jaciow ◽  
J Polanski ◽  
B Jankowska-Polanska
Keyword(s):  
Heart Failure ◽  
Heart Disease ◽  
High Risk ◽  
Ischemic Heart Disease ◽  
Beta Blockers ◽  
The Elderly ◽  
Ischemic Heart ◽  
Risk Of Falling ◽  
Risk Of Falls ◽  
The Impact

Abstract Funding Acknowledgements Type of funding sources: None. Background. Falls among the elderly are a major cause of injury, significant disability and premature death. Hypotension is a potential risk factor for falls in older adults, especially patients with hypertension (HTN) taking antihypertensive drugs. Furthermore, the cardiovascular benefit of treatment of hypertension in older patients is clear, findings from observational studies have raised concerns that antihypertensive therapies in the elderly might also induce adverse effects, including injurious falls.  In spite of the large number of issues related to this topic, the analysis of the causes of falls is insufficient. The aim of the study was to assess the frequency of falls and the impact of selected variables on the occurrence of risk of falls among patients with HTN. Material and methods. 100 patients, including 55 women, with HTN (mean age 69.4 ± 3.29 years) were enrolled into the study. The Tinetti test was used to assess the risk of falls. Sociodemographic and clinical data were obtained from the hospital register. Results. 89% of patients had a high risk of falls and 11% were prone to falls. The average number of falls during the last year in the study group was 1.86 ± 2.82 and in 30% of cases the fall was the cause of hospitalization. Single-factor analysis of the influence of selected variables on the risk of falls showed that higher values of SBP (-0.27; p = 0.007), DBP (-0.279; p = 0.005) and younger age of patients decrease the risk of falls (-0.273; p = 0.006). The linear regression model showed that independent predictors increasing the risk of falling are: use of diuretics (β=4.192; p &lt; 0.001), co-occurrence of ischemic heart disease (β=4.669; p = 0. 007) and co-occurrence of heart failure (β=3.494; p = 0.016), and predictors reducing the risk of falling patients with hypertension are: the use of beta-blockers (β= -4.033; p = 0.013) and higher DBP value (β= -0.123; p = 0.016). Conclusions. Patients with HTN have a high risk of falling. Independent determinants increasing the risk of falling patients with HTN are the use of diuretics and the co-occurrence of ischemic heart disease or heart failure, while beta-blockers and a higher DBP value are factors reducing the risk of falling. Fall risk assessment and implementation of fall prevention should be carried out in everyday practice.

scholarly journals Faktor Resiko Jatuh pada Lansia di Unit Pelayanan Primer Puskesmas Medan Johor

2020 ◽  
Vol 4 (2) ◽  
pp. 108
Author(s):  
Vitri Rohima ◽  
Iwan Rusdi ◽  
Evi Karota
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Intrinsic Factor ◽  
The Elderly ◽  
Situational Factor ◽  
Extrinsic Factor ◽  
Risk Of Falling ◽  
Chi Square ◽  
Risk Of Falls ◽  
Falls In Elderly

ABSTRAKLatar Belakang: Lansia merupakan tahap akhir pertumbuhan kehidupan manusia yang mengalami perubahan fisik maupun psikososial, dan salah satu aspek penting perubahan itu adalah resiko jatuh. Resiko jatuh pada lansia dipengaruhi oleh faktor intrinsik, faktor ekstrinsik, dan faktor situasional. Tujuan: penelitian ini untuk mengetahui hubungan resiko jatuh dengan kejadian jatuh pada klien lansia di Puskesmas Medan Johor. Metode: Penelitian ini merupakan studi deskriptif korelasi terhadap 70 responden lansia. Pengumpulan data dilakukan dengan menggunakan kuisioner faktorfaktor penyebab resiko jatuh dan kejadian resiko jatuh pada klien lansia. Hasil: umumnya klien berusia 60-74 (51%), beragama Islam (81%), dan keluarga tinggal serumah lebih dari 2 orang 84%. Hasil penelitian menunjukkan faktor penyebab resiko jatuh lansia terutama dari faktor situasional 26%, faktor intrinsik 17% dan tidak ada dari faktor ekstrinsik (0%). Berdasarkan kejadian resiko jatuh pada lansia adalah 46% beresiko tinggi, 36% beresiko rendah, dan 18% tidak beresiko. Hasil uji chi square menunjukkan adanya hubungan yang signifikan dari faktor intrinsik p=0,000, faktor ekstrinsik p=0,000 dan faktor situasional p=0,004 terhadap kejadian resiko jatuh. Kesimpulan: faktor-faktor resiko jatuh berhubungan dengan kejadian jatuh pada klien lansia di Puskesmas Medan Johor. Hasil penelitian ini dapat menjadi masukan bagi pelayanan kesehatan khususnya pelayanan asuhan keperawatan untuk meningkatkan edukasi kepada klien lansia dan keluarganya tentang dengan resiko jatuh dan pelayanan kesehatan dapat melakukan pengembangan program kegiatan pencegahan resiko jatuh pada lansia.Kata Kunci: Lansia, resiko jatuh, kejadian resiko jatuhRisk for Full Factor among the Elders in Puskesmas Medan Johor ABSTRACTBackground: Elderly is a process of human life experiencing various physical and psychosocial changes, and one important aspect due to these changes is the risk of falling among the elders. It is influenced by intrinsic, extrinsic, and situational factors. Aim: The purpose of this study was to determine the relationship between the risk of falls and the incidence of falls in elderly clients who visit to the Health Center. Method: This study is a descriptive study of correlation to 70 elderly people at the Puskesmas Medan Johor. The data were collected by using questionnaires of risk factors of fall and risk incidence of falls on the elders. Result: Demographic data are generally the elders aged 60-74 years (51%), Moslem (81%), family live at home more than 2 person (84%). The results of the study showed that the risk factor of falling elderly mainly from situational factor (26%), intrinsic factor (17%) and extrinsic factor (0%). Meanwhile, based on the risk incidence of falling on the elderly clients, the result is high risk (46%), low risk (36%), and no risk of fall (18%). The chi square test shows that there is significant correlation of intrinsic factor p=0.000, extrinsic factor p=0.000 and situational factor p=0.004 to fall risk event. Conclusion: There is a relationship between falling risk factors and the incidence of falls in elderly clients at the Puskesmas Medan Johor. This study provide recommendations for health services, especially nursing care services to provide education to elderly clients and their families related to the risk of falls in the elderly and the health centers can develop prevention programs to reduce the risk of falls in the elderly.Keywords: Elderly, a risk factor for falling, the risk of falling

scholarly journals PROFIL KEMAMPUAN MEMBACA SISWA KELAS 5 SEKOLAH DASAR (SD) DAN MADRASAH IBTIDAIYAH (MI) DITINJAU DARI JENIS SEKOLAH DAN JENIS KELAMIN

MADRASAH ◽  
2012 ◽  
Author(s):  
Rifa Hidayah
Keyword(s):  
Elementary School ◽  
Reading Ability ◽  
Data Entry ◽  
Data Collection Tool ◽  
Research Subjects ◽  
School Students ◽  
Men And Women ◽  
Grade 5 ◽  
Type Of School ◽  
Gender Type

This study wanted to test the reading ability of students in grade 5 elementary school and madrasah, aged 9-11 years in terms of gender and type of school. Data collection tool tests the ability to read and the data entry student sex and type of school that consists of Elementary and MI. Research subjects amounted to 71 students from two schools, which consists of 43 elementary school students and 28 students MI. The results of data analysis showed that there was no difference between reading ability between men and women (p&gt; 0.05). In review of the types of schools that is students from elementary school and MI (p&gt; 00.5) and no difference in reading ability.<br /><br />Key words: Ability to read, gender, type of school<br /><br />

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