Bedside Nurses Leading the Way for Falls Prevention: An Evidence-Based Approach

2015 ◽  
Vol 35 (2) ◽  
pp. 82-84 ◽  
Author(s):  
Marty Cangany ◽  
Dawn Back ◽  
Tori Hamilton-Kelly ◽  
Marian Altman ◽  
Susan Lacey
Heritage ◽  
2021 ◽  
Vol 4 (4) ◽  
pp. 3186-3192
Author(s):  
Len Gleeson

For the inscription of the Egyptian statuette in the Heraklion Archaeological Museum, the dedicator’s second title has long been open to question. New and detailed physical evidence, based on optical profilometry, is presented here. The results show errors/omissions in the previously accepted reading and open the way to a much more plausible translation.


2018 ◽  
Vol 31 (10_suppl) ◽  
pp. 39S-67S ◽  
Author(s):  
Thomas J. Eagen ◽  
Salom M. Teshale ◽  
Angelica P. Herrera-Venson ◽  
Anne Ordway ◽  
Joe Caldwell

Objective: Adults aging with a long-term disability (LTD) are at an increased risk for falls. The Older Americans Act Title III-D and Prevention and Public Health Fund (PPHF) support several organizations to deliver falls prevention evidence-based programs designed to reduce risk factors; however, little is understood about the reach and effectiveness of these fall prevention programs for those with LTD compared to those without LTD. This study compared the reach and effectiveness of two evidence-based falls prevention programs between older adults with and without LTD. Method: Using a matched case-control design, 105 LTD older adults enrolled in A Matter of Balance (AMOB) or Stepping On were matched to 315 non-LTD older adults on age, sex, race, and education. Results: On average, LTD older adults attended a higher number of class sessions and were significantly more likely to complete the program compared with the matched-sample of non-LTD older adults. LTD older adults were equally likely as non-LTD older adults to report significant reductions in self-reported fear of falling, falls-related activity restriction, and improvement in falls self-efficacy following completion of the programs. Discussion: These findings provide preliminary evidence for the effectiveness of these evidence-based falls prevention programs for LTD older adults; however, more research is needed to extend these findings.


2018 ◽  
pp. 57-77
Author(s):  
Stephen M. Rutherford

This chapter examines the medical challenges posed by the increased number of gunshot wounds during the civil wars, and sets out the changes in the way these wounds were treated. The treatment of battlefield wounds expounded in surgeons’ manuals, is placed in context with what we now understand about the biology, pathology and effective treatment methods for wounds. The techniques used by the civil-war surgeon are compared with those of later periods. Despite a lack of understanding of microbiology, physiology and, in many cases, anatomy, many methods employed by civil-war military surgeons reflect good contemporary surgical practice. Despite the lack of antibiotics, anaesthetics, hygienic environments and high-quality surgical implements, survival rates from injuries on the field arrear to have been considerable, if treated. In developing treatments for the problems posed by gunshot wounds, some civil-war surgeons used an evidence-based approach, and laid the foundations for much modern surgical practice.


2018 ◽  
pp. 67-81
Author(s):  
Mary Jo Kreitzer ◽  
Louise Delagran ◽  
Andrea Uptmor

Wellbeing goes beyond the management of disease or illness; it is a larger concept that is characterized by a general contentment in life and the way things are. This chapter uses the framework of the University of Minnesota Wellbeing Model to explore the evidence-based factors that influence wellbeing, including health, relationships, security, purpose, environment, and community. Mindfulness, a way of being that provides another core component of wellbeing, is defined and its evidence based discussed. Exemplars of wellbeing at the individual, organizational, and society level are described. Some applications of similar models in towns such as Albert Lea, Minnesota, Austin, Texas, and Santa Monica, California, are discussed, as well as initiatives in Canada and the UK.


2019 ◽  
Vol 48 (1) ◽  
pp. 17-30 ◽  
Author(s):  
Kim Lombard ◽  
Laura Desmond ◽  
Ciara Phelan ◽  
Joan Brangan

Purpose As one ages, the risk of experiencing a fall increases and poses a number of serious consequences; 30 per cent of individuals over 65 years of age fall each year. Evidence-based falls prevention programmes demonstrate efficacy in reducing the rate and risk of falls among older adults, but their use in Irish occupational therapy practice is unknown. This study aims to investigate the implementation of falls prevention programmes by occupational therapists working with older adults in Ireland. Design/methodology/approach A cross-sectional survey was used to gather data on the use of falls prevention programmes among occupational therapists working with older adults in any clinical setting across Ireland. Purposeful, convenience and snowball sampling methods were used. The Association of Occupational Therapists of Ireland acted as a gatekeeper. Descriptive statistics and summative content analysis were used to analyse quantitative and qualitative data, respectively. Findings In all, 85 survey responses were analysed. Over 85 per cent of respondents reported “Never” using any of the evidence-based falls prevention programmes. The “OTAGO” Exercise Programme was the most “Frequently” used programme (9.5 per cent, n = 7); 29 respondents reported using “in-department” developed falls prevention programmes and 14 provided additional comments regarding current falls prevention practices in Ireland. Originality/value In the absence of Irish data on the subject, this study provides a benchmark to describe the use of evidence-based falls programmes by Irish occupational therapists with older adults.


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