scholarly journals Fall Prevention Knowledge, Attitude, and Practices of Community Stakeholders and Older Adults

2011 ◽  
Vol 2011 ◽  
pp. 1-9 ◽  
Author(s):  
Sharon S. Laing ◽  
Ilene F. Silver ◽  
Sally York ◽  
Elizabeth A. Phelan

We assessed knowledge, attitude, and provision of recommended fall prevention (FP) practices by employees of senior-serving organization and participation in FP practices by at-risk elders. The Washington State Department of Health administered structured telephone surveys to 50 employees and 101 elders in Washington State. Only 38% of employees felt “very knowledgeable” about FP, and a majority of their organizations did not regularly offer FP services. Almost half (48%) of seniors sustained a fall within the past 12 months; however, one-third perceived falling to be among their least important health concerns, and most had minimal working knowledge of proven FP practices. Seniors who perceived avoiding falls as important to their well-being were more likely to participate in practices about which they had the least knowledge (risk assessment, medication management). Increased awareness and availability of FP services might help engage older adults in FP practices and reduce the adverse effects of falls.

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Marisa Anne D’Angeli ◽  
Linda O’Neal Eckert

Despite proven benefit to mothers and infants, influenza and Tdap vaccination for pregnant women remain suboptimal. We conducted an email survey for physicians (MDs) and licensed midwives (LMs) in Washington to assess vaccination practices. The Washington State Department of Health and University of Washington, Department of Obstetrics and Gynecology, created an electronic survey and sent it to 644 providers. We used chi-square statistic for comparisons, with Fisher’s exact test for cell size smaller than 5. We received responses from 121 (19%), 106 of whom provided prenatal or obstetric care: 81 MDs and 25 LMs. MDs were more likely than LMs to ask whether pregnant patients are current on vaccinations for influenza and pertussis (96% versus 56% and 84% versus 40%, resp., P<0.001) and to recommend influenza and pertussis vaccine during pregnancy (100% versus 20% and 86% versus 24%, resp., P<0.001). Significantly more MDs received influenza vaccine in the most recent season than did LMs (99% versus 20%, P<0.001). In this study, LMs were less likely to inquire about immunization status, recommend influenza and pertussis vaccines, or be vaccinated against influenza than MDs. Enhancing educational communication with LMs deserves further study and may provide an opportunity to improve immunization rates in pregnant women.


Author(s):  
Judith Malmgren ◽  
Boya Guo ◽  
Henry G. Kaplan

AbstractBackgroundAs the coronavirus (COVID-19) epidemic passes the peak infection rate in some states and counties a phased re-opening with changes of stay-at-home restrictions and social distancing recommendations may lead to an increase of nonessential work, social activities and gathering, especially among younger persons.MethodsA longitudinal cohort analysis of Washington State Department of Health COVID-19 confirmed case age distribution March 1-April 19 2020 for proportional change over time using chi square tests for significance (N = 13,934).ResultsFrom March 1st to April 19, 2020 age distribution shifted with a 10% decline in cases age 60 years and older and a 20% increase in age 0-19/20-39 years (chi-square = 223.10, p <.001). Number of cases over the eight-week analysis period were 0-19 years n = 515, 20-39 years n = 4078, 40-59 years n =4788, 60-79 years n = 3221, 80+ years n = 1332. New cases increased steadily among 0-19 and 20-39-year olds. After the peak (March 22, 2020), there was no decline among age 0-19 and a lesser decline among age 20-39 than older groups. As incidence declined in older age groups, the combined percentage of cases age 0-19 and 20-39 increased from 20% to 40% of total cases.ConclusionsIncreased COVID-19 infection among children and young adults is not without serious morbidity and mortality risk to them and others they may come in contact with, indicating a targeted approach for awareness and safety measures is advisable to reduce incidence among the supposedly less vulnerable but more mobile young population age 0-19 and 20-39 years.


2014 ◽  
Vol 2014 (1) ◽  
pp. 2273-2287 ◽  
Author(s):  
Alice Drury ◽  
Gary Shigenaka ◽  
Mark Toy

ABSTRACT The 128 foot F/V Deep Sea was illegally anchored on Washington state-owned aquatic lands in Whidbey Island's Penn Cove from December 24th 2011 until it sank on May 14th, 2012, following a fire aboard the vessel. Penn Cove is the home of Penn Cove Shellfish, LLC, the United States’ largest and oldest mussel farm. The Deep Sea sank within approximately 200 meters of Penn Cove LLC's mussel raft growing system with an unknown amount of oil aboard. After the vessel sank Penn Cove Shellfish, LLC, voluntarily ceased harvesting their shellfish. Not long after the Washington State Department of Health closed commercial and recreational harvest of shellfish in Penn Cove. Although efforts were made to plug the vessel's vents and seal the vessel's fuel tanks a cracked vent allowed fuel to leak from the sunken vessel, later identified as marine diesel by the Washington State Department of Ecology. Sheen was documented over the mussel rafts. Based on sensory testing the Washington State Department of Health re-opened Penn Cove's shellfish harvest in stages, with sampling plan and testing assistance from the National Oceanic and Atmospheric Administration. Following response to the F/V Deep Sea all agencies involved in the shellfish closure that was as result of this incident convened to establish guidelines on the best way to run the closure and subsequent re-opening process for inclusion in the Northwest Area Contingency Plan, based off of lessons learned from the response. This was especially important since shellfishery closures due to oil spill contamination are not common in Washington State. This paper outlines those lessons learned during the F/V Deep Sea response in regards to closing and then re-opening a shellfishery in Washington State, and includes the guidelines that were established and incorporated into the Northwest Area Contingency Plan as a result.


2019 ◽  
Vol 100 (2) ◽  
pp. 224-239 ◽  
Author(s):  
Erin Flynn ◽  
Katie Massey Combs ◽  
Jaci Gandenberger ◽  
Philip Tedeschi ◽  
Kevin N. Morris

As interest grows in programs that improve prison inmates’ behavior and psychosocial well-being, any such interventions must be rigorously examined and their underlying mechanisms for change must be understood. This pilot study examined the use of prison-based dog training programs across Washington State Department of Corrections facilities for their impacts on inmates’ infraction rates. The study also compared levels of empathy, self-efficacy, and anxiety between program participants and nonparticipants. Findings indicated that prison dog program participants’ infraction rates improved and that participants had lower levels of anxiety than nonparticipants.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S567-S567
Author(s):  
Janice Mark ◽  
Gwen Bergen ◽  
Briana Moreland

Abstract Prescribing evidence-based interventions based on older adults’ modifiable risk factors is recommended to prevent falls. Older adults need to adhere to the prescribed intervention to successfully reduce risk. This study reports on a structured systematic review to understand patient attitudes to adherence to fall prevention interventions. A systematic search for publications from 2008-2018 identified 72 articles on patient attitudes toward exercise, physical therapy, medication management, podiatry, and vision care for fall prevention. Three reviewers coded facilitators and barriers based on a socio-ecological model of interpersonal, intrapersonal, community, and policy factors. Perceived susceptibility to falling and perceived effectiveness of the intervention were important factors across all fall prevention interventions. Physician prescribing and discussion facilitated exercise, medication changes, and physical therapy. For attitudes related to community and policy, the most reported barriers were transportation and cost. Information from this review can be used to improve the implementation of fall prevention interventions.


2005 ◽  
Vol 18 (1) ◽  
pp. 75-95 ◽  
Author(s):  
Erica Weintraub Austin ◽  
Bruce E. Pinkleton ◽  
Stacey J. T. Hust ◽  
Marilyn Cohen

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257048
Author(s):  
Friederike Doerwald ◽  
Birte Marie Albrecht ◽  
Imke Stalling ◽  
Karin Bammann

Background Life satisfaction is associated with many important health outcomes among older adults and is an indicator of successful ageing. The present study aims to replicate earlier findings regarding relationships between satisfaction with various life domains and life satisfaction in older adults. The study furthermore explores how parental status is associated with satisfaction with different life domains and how two types of intergenerational contact (contact with own children; post-retirement work in childcare) relate to life satisfaction. Methods Participants were 1978 older adults, aged 65–75 year (51.7% female), who live in Bremen and took part in the OUTDOOR ACTIVE study. 82.6% of the participants had one or more children. All participants completed a questionnaire, which among others comprised items assessing life satisfaction as well as satisfaction with six different life domains (satisfaction with living situation, financial situation, leisure time, health, family, neighbors and friends). Results LS is significantly related to all of the investigated life domains, independent of sex and age. For the participants with children, life satisfaction had the highest association with satisfaction with family (β: 0.202; 95%CI: 0.170–0.235), followed by satisfaction with neighbors and friends (β: 0.151; 95%CI: 0.111–0.191), and health satisfaction (β: 0.148; 95%CI: 0.120–0.176). In comparison to that, participants without children had the highest association between life satisfaction and satisfaction with health (β: 0.193; 95%CI: 0.135–0.252), followed by satisfaction with family (β: 0.175; 95%CI: 0.114–0.236) and satisfaction with neighbors and friends (β: 0.154; 95%CI: 0.077–0.232). In participants with children, there was a non-significant negative association between life satisfaction and work in childcare (β: -0.031; 95%CI: -0.178–0.116), while life satisfaction was statistically significantly positively associated to work in childcare in participants without own children (β: 0.681; 95%CI: 0.075–1.288). Conclusions The results suggest that the domain-specific approach to life satisfaction can elucidate differences in the correlates of life satisfaction and well-being between older adults with and without children. They further suggest that the benefits of working with children for life satisfaction may be more pronounced in older adults without children than older adults with children.


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