Falls And Cognition In Older Persons

Author by : Manuel Montero-Odasso
Languange : en
Publisher by : Springer Nature
Format Available : PDF, ePub, Mobi
Total Read : 84
Total Download : 430
File Size : 42,6 Mb
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Description : Despite of the enormous efforts of researchers and clinicians to understand the pathophysiology of falls in older adults and establish preventive treatments, there is still a significant gap in our understanding and treating of this challenging syndrome, particularly when we focus in cognitively impaired older adults. Falls in older adults are a very common yet complex medical event, being the fifth leading cause of death and a main cause of insidious disability and nursing home placement in our world aging population. Importantly, falls in the cognitively impaired double the prevalence of the cognitively normal, affecting up of 60% of older adults with low cognition and increasing the risk of injuries. The past decade has witnessed an explosion of new knowledge in the role of cognitive processes into the falls mechanisms. This was also accompanied with clinical trials assessing the effect of improving cognition via pharmacological and non-pharmacologic approaches to prevent falls and related injuries. Unfortunately, this revolution in emerging interventions left a gap between clinician-scientists and researchers at academic centers where the new data had been generated and the practitioners who care for cognitively impaired patients with falls. Most advances are published in specialty journals of geriatric medicine, neurology, and rehabilitation. The aim of this book is to reduce this gap and to provide practical tools for fall prevention in cognitively impaired populations. The proposed book is designed to present a comprehensive and state-of the-art update that covers the pathophysiology, epidemiology, and clinical presentation of falls in cognitively impaired older adults. We additionally aim to reduce the knowledge gap in the association between cognitive processes and falls for practitioners from a translational perspective: from research evidence to clinical approach. We will address gaps and areas of uncertainty but also we will provide practical evidence-based guidelines for the assessment, approach, and treatment of falls in the cognitively impaired populations. This book is a unique contribution to the field. Existing textbooks on fall prevention focus in global approaches and only tangentially address the cognitive component of falls and not purposely address special populations and/or settings as residential care and nursing homes. Due to the expected increase of proportion of older adults with cognitive and mobility impairments, this book is also valuable for the whole spectrum of the health care of the elderly. By including a transdisciplinary perspective from geriatric medicine, rehabilitation and physiotherapy medicine, cognitive neurology, and public health, this book will provide a practical and useful resource with wide applicability in falls assessment and prevention.


Falls In Older People

Author by : Stephen R. Lord
Languange : en
Publisher by : Cambridge University Press
Format Available : PDF, ePub, Mobi
Total Read : 9
Total Download : 190
File Size : 47,6 Mb
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Description : Covering epidemiology, evidence-based risk assessment and falls-prevention strategies, this book will be invaluable to all involved with health care of the elderly.


Falls In Older Persons

Author by : Rein Tideiksaar
Languange : en
Publisher by :
Format Available : PDF, ePub, Mobi
Total Read : 28
Total Download : 220
File Size : 52,7 Mb
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Description : "In both hospitals and long-term care facilities it's the older patients and residents who are most prone to falling and most vulnerable to serious injury from a fall. Staff must constantly be on the alert for hazardous situations and know how to deal with falls. This easy-to-read guide provides just the right amount of information needed by health care staff to prevent and manage this common problem among older adults." "This book presents a wealth of practical recommendations, modifications, equipment, and resources that will improve the health and safety of older adult patients and long-term care residents."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved


Falls In Older People

Author by : Rein Tideiksaar
Languange : en
Publisher by :
Format Available : PDF, ePub, Mobi
Total Read : 38
Total Download : 631
File Size : 46,8 Mb
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Description : Falls in older people is acomprehensive guide to preventing and managing falls in hospitals and long-term care settings. Jam-packed with practical strategies, assessment tools, and management practices, Falls in Older People includes all the medical, rehabilitative, and environmental strategies, needed in any care setting to protect the safety and health of at-risk older adults.


Who Global Report On Falls Prevention In Older Age

Author by : World Health Organization
Languange : en
Publisher by : World Health Organization
Format Available : PDF, ePub, Mobi
Total Read : 47
Total Download : 848
File Size : 50,5 Mb
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Description : The WHO Falls Prevention for Active Ageing model provides an action plan for making progress in reducing the prevalence of falls in the older adult population. By building on the three pillars of falls prevention, the model proposes specific strategies for: 1. Building awareness of the importance of falls prevention and treatment; 2. Improving the assessment of individual, environmental, and societal factors that increase the likelihood of falls; and 3. For facilitating the design and implementation of culturally appropriate, evidence-based interventions that will significantly reduce the number of falls among older persons. The model provides strategies and solutions that will require the engagement of multiple sectors of society. It is dependent on and consistent with the vision articulated in the WHO Active Ageing Policy Framework. Although not all of the awareness, assessment, and intervention strategies identified in the model apply equally well in all regions of the world, there are significant evidence-based strategies that can be effectively implemented in all regions and cultures. The degree to which progress will be made depends on to the success in integrating falls prevention strategies into the overall health and social care agendas globally. In order to do this effectively, it is necessary to identify and implement culturally appropriate, evidence-based policies and procedures. This requires multi-sectoral, collaborations, strong commitment to public and professional education, interaction based on evidence drawn from a variety of traditional, complementary, and alternative sources. Although the understanding of the evidence-base is growing, there is much that is not yet understood. Thus, there is an urgent need for continued research in all areas of falls prevention and treatment in order to better understand the scope of the problem worldwide. In particular, more evidence of the cost-effectiveness of interconnections is needed to develop strategies that are most likely to be effective in specific setting and population sub-groups.


Interventions To Prevent Falls In Older Adults An Updated Systematic Review

Author by : U. S. Department of Health and Human Services
Languange : en
Publisher by : Createspace Independent Pub
Format Available : PDF, ePub, Mobi
Total Read : 15
Total Download : 911
File Size : 48,8 Mb
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Description : This review was undertaken to support the U.S Preventive Services Task Force (USPSTF) in updating its 1996 recommendation on prevention of falls in older adults, which was part of its general review on household and recreational injuries. The 1996 USPSTF review found sufficient evidence that certain interventions reduce the risk for falls. This review found insufficient evidence, however, that counseling could be generalized to the primary care setting or that counseling reduced fall risk factors or the incidence of falls. The USPSTF also found insufficient evidence to recommend for or against the routine use of external hip protectors to prevent fall injuries. Issues requiring rectification for the USPSTF to change its recommendations include evidence showing that: primary care feasible interventions reduce the risk for falls or fall-related injuries in high-risk older adults; the general population benefits from these interventions; primary care counseling reduces the incidence of falling or fall-related injuries; primary care counseling is effective in encouraging older adults to increase their physical activity levels; and screening (balance and gait, visual acuity, ophthalmoscopic exam, dementia or altered mental status) reduces incidence of falls or fall-related injuries. A fall is “an unexpected event in which the participant comes to rest on the ground, floor, or lower level.” Because no single definition for a fall was consistently used across studies, we use the definition of a fall used by each reviewed study to maximize the number of included studies in the current review. People aged 65 years and older represent the fastest-growing segment of the U.S. population. Falls are associated with many adverse health outcomes, including injury and death. In 2003, the Centers for Disease Control and Prevention reported that falls were the leading cause of injury deaths, and the ninth leading cause of death from all causes, among those 65 years of age and older. Falls and fall-related injuries increase with age. Hip fractures are an especially grave complication of falls in older adults, resulting in more hospital admissions than any other injury. There is a 10% to 20% reduction in expected survival during the first year following a hip fracture, and roughly half of the survivors never recover normal function. Falls also predict quality of life and disability. Twenty to 30% of those who fall suffer injuries that result in decreased mobility that limits subsequent independence. Even falls that do not result in injury can lead to negative outcomes. In particular, experiencing a fall can increase an older person's fear of falling, an important psychological outcome correlated with future falls. Fear of falling leads older adults with and without a history of falling to limit activities, which eventually increases fall risk through functional decline, deterioration in perceived health status, and increased risk for admission to institutional care. KQ 1: Is there direct evidence that primary care interventions reduce fall-related injury, improve quality of life, reduce disability, or reduce mortality when used alone or in combination to reduce falling in community-dwelling older adults? 1a. Do these interventions reduce injury, improve quality of life, reduce disability, or reduce mortality in older adults specifically identified as high risk for falls? KQ 2: Do primary care interventions used alone or in combination in community-dwelling older adults prevent falling? 2a. Do these interventions prevent falling in older adults specifically identified as high risk for falls? 2b. Are there positive outcomes other than reduced falling, and related morbidity and mortality, that result from primary care interventions to prevent falling? KQ 3: What are the adverse effects associated with interventions to prevent falling? KQ 4: How are high-risk older adults identified for primary care interventions to prevent falling?


Report On Seniors Falls In Canada

Author by : Public Health Agency of Canada. Division of Aging and Seniors
Languange : en
Publisher by :
Format Available : PDF, ePub, Mobi
Total Read : 38
Total Download : 317
File Size : 46,9 Mb
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Description :


Falls And Cognition In Older Persons

Author by : Manuel Montero-Odasso
Languange : en
Publisher by : Springer
Format Available : PDF, ePub, Mobi
Total Read : 19
Total Download : 993
File Size : 50,5 Mb
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Description : Despite of the enormous efforts of researchers and clinicians to understand the pathophysiology of falls in older adults and establish preventive treatments, there is still a significant gap in our understanding and treating of this challenging syndrome, particularly when we focus in cognitively impaired older adults. Falls in older adults are a very common yet complex medical event, being the fifth leading cause of death and a main cause of insidious disability and nursing home placement in our world aging population. Importantly, falls in the cognitively impaired double the prevalence of the cognitively normal, affecting up of 60% of older adults with low cognition and increasing the risk of injuries. The past decade has witnessed an explosion of new knowledge in the role of cognitive processes into the falls mechanisms. This was also accompanied with clinical trials assessing the effect of improving cognition via pharmacological and non-pharmacologic approaches to prevent falls and related injuries. Unfortunately, this revolution in emerging interventions left a gap between clinician-scientists and researchers at academic centers where the new data had been generated and the practitioners who care for cognitively impaired patients with falls. Most advances are published in specialty journals of geriatric medicine, neurology, and rehabilitation. The aim of this book is to reduce this gap and to provide practical tools for fall prevention in cognitively impaired populations. The proposed book is designed to present a comprehensive and state-of the-art update that covers the pathophysiology, epidemiology, and clinical presentation of falls in cognitively impaired older adults. We additionally aim to reduce the knowledge gap in the association between cognitive processes and falls for practitioners from a translational perspective: from research evidence to clinical approach. We will address gaps and areas of uncertainty but also we will provide practical evidence-based guidelines for the assessment, approach, and treatment of falls in the cognitively impaired populations. This book is a unique contribution to the field. Existing textbooks on fall prevention focus in global approaches and only tangentially address the cognitive component of falls and not purposely address special populations and/or settings as residential care and nursing homes. Due to the expected increase of proportion of older adults with cognitive and mobility impairments, this book is also valuable for the whole spectrum of the health care of the elderly. By including a transdisciplinary perspective from geriatric medicine, rehabilitation and physiotherapy medicine, cognitive neurology, and public health, this book will provide a practical and useful resource with wide applicability in falls assessment and prevention.


Falls In Older Persons

Author by : Rein Tideiksaar
Languange : en
Publisher by :
Format Available : PDF, ePub, Mobi
Total Read : 65
Total Download : 855
File Size : 45,8 Mb
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Description :


Medication Related Falls In Older People

Author by : Allen R. Huang
Languange : en
Publisher by : Springer
Format Available : PDF, ePub, Mobi
Total Read : 17
Total Download : 255
File Size : 49,6 Mb
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Description : Comprising a single repository of knowledge and scientific evidence in the field, this book provides strategies to mitigate fall risk by providing information on the complex interactions between aging processes, co-morbid conditions and prescribed medications in older patients. Geriatric health is becoming a more prominent issue as the population ages, and balancing the beneficial effects of medication against the potential and real side-effects in these patients involves a deliberate and thoughtful task: physiologic aging, the accumulation of co-morbidities, and the use of drugs to manage various conditions and symptoms generates a unique set of problems for each patient. Falls are a dreaded event in older people. The event can affect a person in a physical, and psychological manner, resulting in soft tissue and bony injury, fear of falling, and depression. The identification of and reduction in fall risks in older people is a worldwide concern, and reducing the incidence of falls is a ubiquitous quality measure of health care delivery. Heterogeneity amongst older people precludes a single solution. However, physicians and others involved in the care of geriatric patients will benefit from the presented insights into how medication use can be modified to limit its impact as a contributing factor.


Falls Prevention An Issue Of Clinics In Geriatric Medicine Ebook

Author by : Steven Castle
Languange : en
Publisher by : Elsevier Health Sciences
Format Available : PDF, ePub, Mobi
Total Read : 49
Total Download : 215
File Size : 47,6 Mb
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Description : This issue of Clinics in Geriatric Medicine, Guest Edited by Dr. Steven Castle, is devoted to Falls Prevention. Articles in this important issue include: Key components of exercise programs in community to prevent falls; Potential reasons deaths from falls in older adults have doubled in the past decade; Link between Primary care and community-based balance exercise programs; Role of foot orthoses and shoe insoles at improving mobility and balance; Blood Pressure control and falls risk; Optimizing function and physical activity in hospitalized older adults to prevent functional decline and falls; Delirium as it relates to falls; Virtual sitters; Redesigning a Fall Prevention Program in Acute Care: Building on Evidence; and Nursing Unit Design and Hospital Falls.


Fall Prevention Programming

Author by : Vicky Scott Phd
Languange : en
Publisher by :
Format Available : PDF, ePub, Mobi
Total Read : 10
Total Download : 611
File Size : 43,7 Mb
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Description : Fall Prevention Programming 2nd edition presents a unique approach to fall prevention for health care professionals and community support providers who work with older persons in community, residential and acute care settings. The content focuses on the practical application of current research on fall and fall-related injury prevention. This book a valuable resource for all who work with older adults and is the required text for the Canadian Fall Prevention Curriculum course on how to design, implement and evaluate a fall prevention program - available at: continuingstudies.uvic.ca/CFPC The learning objectives for this book are: - To increase your understanding of the scope and nature of the problem of falls among older persons in your region and work setting - To build on your knowledge of fall risk identification and assessment and the application of this knowledge to select appropriate interventions - To build on your knowledge of fall prevention interventions to reflect the practical application of evidence-based strategies - To increase your understanding of how to implement a successful and sustainable program and how to apply a program planning model for the design and implementation of a fall prevention program - To increase your ability to evaluate the effectiveness of a fall prevention program


Fall Prevention For Older People

Author by : Graham Cannard
Languange : en
Publisher by : Paragon Publishing
Format Available : PDF, ePub, Mobi
Total Read : 33
Total Download : 378
File Size : 49,9 Mb
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Description : Information for older people, their families or health care providers on how to avoid falls in the home and outside.


Falls In Older Persons

Author by : Julie E. Dunn
Languange : en
Publisher by :
Format Available : PDF, ePub, Mobi
Total Read : 61
Total Download : 663
File Size : 41,8 Mb
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Description :


Falling In Old Age 2nd Edition

Author by : Rein Tideiksaar, PhD
Languange : en
Publisher by : Springer Publishing Company
Format Available : PDF, ePub, Mobi
Total Read : 91
Total Download : 248
File Size : 52,7 Mb
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Description : Falling is one of the most common causes of disability in later life and is also one of the most preventable. This book provides an enormous body of fall-related research that has been organized by the author into easy, digestible information for geriatric health professionals. Extensively updated and revised for its second edition, the book has direct clinical applications and strategies for preventing and managing falls. It also contains new information on the physical, psychological, and social complications of falling. For physicians, nurses, administrators, and staff in long-term and other geriatric care settings, this book will be an essential resource.


Fall Injury Prevention For Older Adults

Author by : Joanne M. Price
Languange : en
Publisher by :
Format Available : PDF, ePub, Mobi
Total Read : 58
Total Download : 359
File Size : 51,8 Mb
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Description : Each year, over 30% of adults ages 65 and over; suffer from fall-related injuries. Fall Injury Prevention for Older Adults will help you understand the causes of falling and provides tips for reducing the risk of falls. This guide will help make a difference today in the safety and well-being of yourself and those you love. "I read every page of this book and now truly believe there is much we can do to prevent falls for older adults. This book is full of pertinent information, is easy to read, and is divided into useful sections so you can look up what you need to know as a family caregiver to help prevent falls. It's a resource everyone who is concerned about an older person's safety should take the time to read." -Maggie Marshall, Director of the Caregiver to Caregiver Network, SCRC, San Diego, California "The most delightful thing about this book is that it emerges from the heartfelt interest on the part of the authors This is all done in a very understandable manner I have reviewed all the recommendations in this book and endorse them as consistent with modern, evidence-based medicine." -Vert Mooney, MD, Clinical Professor of Orthopaedic Surgery, University of California, San Diego, and President of Measurement Driven Rehabilitation Systems


A Team Approach Risk Of Falling Assessment And Remediation Program For Community Dwelling Older Adults With A Fear Of Falling And Balance Disorders

Author by : Julie Ann Honaker
Languange : en
Publisher by :
Format Available : PDF, ePub, Mobi
Total Read : 74
Total Download : 289
File Size : 49,8 Mb
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Description : Common balance disorders causing symptoms of vertigo and unsteadiness can place an individual at risk of falling. Falls are a serious health concern that can greatly impact quality of life. Older individuals who have experienced a fall or near fall often develop a fear of falling. Appropriate intervention programs designed to reduce fear of falling are lacking. The present study determined the effectiveness of a team approach risk of falling program that included fall prevention and counseling, home hazard assessment, and physical therapy at reducing fear of falling for older independent living adults with a diagnosed balance disorder. Participants included twenty-eight subjects, fourteen older patients (X = 69.1 years of age) with a history of falls, fear of falling and a balance disorder and fourteen family members or spouses of each patient. Comprehensive risk of falling assessment from an audiologist, physical therapist and neurotologist were administered and responses to the Activities Specific Balance Confidence Scale, Geriatric Depression Scale, and Beck Anxiety Inventory were ascertained pre and post intervention for each patient. A statistically significant reduction in fear of falling, depression and anxiety as identified by the Wilcoxon Signed Ranks Test were reported for participants after involvement in the program. Family members and spouses also demonstrated statistically significant decrease in fear of falling concerns for their family member post intervention. The research explored through open-ended questions the impact of fear of falling on the individual and the selected family member or spouse of the individual. Content analysis of the participant interviews revealed themes summarizing the process of developing a fear of falling, the emotional reaction to fear of falling, lifestyle changes for the participants and the selected caregiver due to fear of falling, and the benefits and limitations of the risk of falling program. The qualitative interview themes in combination with the quantitative data analysis recommend solutions to the fear of falling problems experienced by older balance disorder patients. Furthermore, the team-approach risk of falling program appears to be effective in reducing falling concerns and improving quality of life in a small sample of older persons with balance disorders.


Osteoporosis In Older Persons

Author by : Gustavo Duque
Languange : en
Publisher by : Springer Science & Business Media
Format Available : PDF, ePub, Mobi
Total Read : 80
Total Download : 308
File Size : 55,6 Mb
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Description : The book summarizes recent advances in the elucidation of the mechanisms involved in senile osteoporosis as well as its potential treatment, bringing an integrated approach from the bench to the clinical practice. A unique aspect of this book is its emphasis on the application of translational research in the field of osteoporosis and falls. The book provides a complete review on the prevention as well as current and future treatments of osteoporosis.


Falling In Old Age 2nd Edition

Author by : Rein Tideiksaar
Languange : en
Publisher by :
Format Available : PDF, ePub, Mobi
Total Read : 28
Total Download : 934
File Size : 50,9 Mb
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Description : cs.hlth_prof.gerontol


One Step Ahead Falls Prevention In Older People

Author by :
Languange : en
Publisher by :
Format Available : PDF, ePub, Mobi
Total Read : 94
Total Download : 883
File Size : 41,7 Mb
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Description : Falls and fall related injuries are amongst the most serious and common medical problems experienced by older persons. Given the incidence and impact of falls in older persons combined with the increasing older population in Queensland, a Statewide Action Plan: Falls Prevention in Older People 2002-2006 has been developed to provide a strategic framework for coordinated action by Queensland Health across the continuum of care.


Nursing Care Of The Older Person

Author by : Jane Farrell
Languange : en
Publisher by : Lippincott Williams & Wilkins
Format Available : PDF, ePub, Mobi
Total Read : 34
Total Download : 993
File Size : 55,8 Mb
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Description :


Vulnerable Older Adults

Author by : Patricia M. Burbank, DNSc, RN
Languange : en
Publisher by : Springer Publishing Company
Format Available : PDF, ePub, Mobi
Total Read : 71
Total Download : 455
File Size : 47,5 Mb
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Description : Winner of an AJN Book of the Year Award! Named an Outstanding Academic Title for 2007 by Choice! "Well organized, extensively referenced, and illustrated with figures/tables, this work represents a unique, multipurpose, interdisciplinary approach to elder care...Highly recommended." --CHOICE Based on the concept that vulnerability in the older populace encompasses those who are at increased risk for physical and psychosocial health problems, this book takes a closer look at vulnerability and how it affects five specific populations within the elderly: Those incarcerated in prisons The homeless Gay, lesbian, bisexual, and transgender people Those who are HIV positive or living with AIDS The frail Both physical and psychosocial health care issues and needs are addressed as well as interventions and resources that can be implemented to care for these very specific populations and their requirements for successful physical and mental health care. The unique challenges of hospice care in prisons; the lack of services that cater to homeless older people; and the overall attitude towards helping elderly gay, lesbian, bisexual or transgender people are some of the increasingly important issues covered. Unique features include: The latest research and theoretical approaches are summarized to give health professionals a concise picture of health care needs of these older adults Themes of interdisciplinary approach to care, cultural considerations, and neglect and abuse are integrated throughout Strategies and resources for caring for older adults with dementia are discussed for each vulnerable population