Why the elderly fall in residential care facilities, and suggested remedies.

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Kallin, KristinaUmeå universitet,Geriatrik,Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university (författare)

Why the elderly fall in residential care facilities, and suggested remedies.

Artikel/kapitelEngelska2004

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2004
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LIBRIS-ID:oai:DiVA.org:umu-6953
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-6953URI
https://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-4859URI

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Språk:engelska
Sammanfattning på:engelska

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

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Upprättat; 2004; 20070222 (andbra)
OBJECTIVE: To study precipitating factors for falls among older people living in residential care facilities. DESIGN: Prospective cohort study. SETTING: Five residential care facilities. PARTICIPANTS: 140 women and 59 men, mean age +/- SD 82.4 +/- 6.8 (range, 65-97). MEASUREMENTS: After baseline assessments, falls in the population were tracked for 1 year. A physician, a nurse, and a physiotherapist investigated each event, and reached a consensus concerning the most probable precipitating factors for the fall. RESULTS: Previous falls and treatment with antidepressants were found to be the most important predisposing factors for falls. Probable precipitating factors could be determined in 331 (68.7%) of the 482 registered falls. Acute disease or symptoms of disease were judged to be precipitating, alone or in combination in 186 (38.6%) of all falls; delirium was a factor in 48 falls (10.0%), and infection, most often urinary tract infection, was a factor in 38 falls (7.9%). Benzodiazepines or neuroleptics were involved in the majority of the 37 falls (7.7%) precipitated by drugs. External factors, such as material defects and obstacles, precipitated 38 (7.9%) of the falls. Other conditions both related to the individual and the environment, such as misinterpretation (eg, overestimation of capacity or forgetfulness), misuse of a roller walker, or mistakes made by the staff were precipitating factors in 83 (17.2%) of falls. CONCLUSION: Among older people in residential care facilities, acute diseases and side effects of drugs are important precipitating factors for falls. Falls should therefore be regarded as a possible symptom of disease or a drug side effect until proven otherwise. Timely correction of precipitating and predisposing factors will help prevent further falls.

Ämnesord och genrebeteckningar

Accidental Falls/*statistics & numerical data
Acute Disease/epidemiology
Aged
Aged; 80 and over
Alcoholism/complications/epidemiology
Chronic Disease/epidemiology
Cohort Studies
Delirium/complications/epidemiology
Drug Therapy/adverse effects
Environment Design
Female
Hip Fractures/prevention & control
Humans
Male
Prospective Studies
Protective Devices/adverse effects
Residential Facilities
Stroke/complications/epidemiology
Sweden/epidemiology
Syncope/complications/epidemiology
Urinary Tract Infections/complications/epidemiology
MEDICINE
MEDICIN
sjukgymnastik
Physiotherapy

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

Jensen, JaneUmeå universitet,Sjukgymnastik,Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university(Swepub:umu)jaje0001 (författare)
Olsson, Lillemor LundinUmeå universitet,Sjukgymnastik,Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university(Swepub:umu)lilu0003 (författare)
Nyberg, LarsUmeå universitet,Sjukgymnastik(Swepub:ltu)larnyb (författare)
Gustafson, YngveUmeå universitet,Geriatrik,Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university(Swepub:umu)yngu0001 (författare)
Umeå universitetGeriatrik (creator_code:org_t)

Sammanhörande titlar

Ingår i:The Journal of family practice53:1, s. 41-520094-35091533-7294

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Av författaren/redakt...: Kallin, Kristina; Jensen, Jane; Olsson, Lillemor ...; Nyberg, Lars; Gustafson, Yngve

Artiklar i publikationen: The Journal of f ...

Av lärosätet: Umeå universitet; Luleå tekniska universitet

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