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  • Lannering, ChristinaFuturum, Sweden,Futurum - Academy for Health and Care,Unit of Research and Development in Primary Care, Futurum, Jönköping (författare)

Factors related to falls, weight-loss and pressure ulcers - more insight in risk assessment among nursing home residents

  • Artikel/kapitelEngelska2016

Förlag, utgivningsår, omfång ...

  • 2016-01-27
  • WILEY-BLACKWELL,2016
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:liu-127422
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-127422URI
  • https://doi.org/10.1111/jocn.13154DOI
  • https://lup.lub.lu.se/record/8573557URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-28666URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Funding Agencies|Medical Research Council of Southeast Sweden (FORSS); Janne Elgqvist Foundation
  • Aims and objectivesTo describe how the included items in three different scales, Downton Fall Risk Index, the short form of Mini Nutritional Assessment and the Modified Norton Scale are associated to severe outcomes as falls, weight loss and pressure ulcers. BackgroundFalls, malnutrition and pressure ulcers are common adverse events among nursing home residents and risk scoring are common preventive activities, mainly focusing on single risks. In Sweden the three scales are routinely used together with the purpose to improve the quality of prevention. DesignLongitudinal quantitative study. MethodsDescriptive analyses and Cox regression analyses. ResultsOnly 4% scored no risk for any of these serious events. Longitudinal risk scoring showed significant impaired mean scores indicating increased risks. This confirms the complexity of this populations status of general condition. There were no statistical significant differences between residents categorised at risk or not regarding events. Physical activity increased falls, but decreased pressure ulcers. For weight loss, cognitive decline and the status of general health were most important. ConclusionsRisk tendencies for falls, malnutrition and pressure ulcers are high in nursing homes, and when measure them at the same time the majority will have several of these risks. Items assessing mobility or items affecting mobility were of most importance. Care processes can always be improved and this study can add to the topic. Relevance to clinical practiceA more comprehensive view is needed and prevention can not only be based on total scores. Mobility is an important factor for falls and pressure ulcers, both as a risk factor and a protective factor. This involves a challenge for care - to keep the inmates physical active and at the same time prevent falls.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Ernsth Bravell, MarieJönköping University,HHJ, Institutet för gerontologi,HHJ. Åldrande - livsvillkor och hälsa,Jonköping University, Sweden(Swepub:hj)erma (författare)
  • Midlöv, PatrikLund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups,Lund University, Sweden(Swepub:lu)klin-pmi (författare)
  • Östgren, Carl JohanLinköping University,Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Primärvården i västra länsdelen(Swepub:liu)caros18 (författare)
  • Mölstad, SigvardLund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups,Lund University, Sweden(Swepub:lu)med-sm2 (författare)
  • Futurum, SwedenFuturum - Academy for Health and Care (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Journal of Clinical Nursing: WILEY-BLACKWELL25:7-8, s. 940-9500962-10671365-2702

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