Falls and fall risk among nursing home residents

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Fonad, EditKarolinska institutet (författare)

Falls and fall risk among nursing home residents

Artikel/kapitelEngelska2008

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2007-12-10
Oxford :Wiley,2008
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LIBRIS-ID:oai:DiVA.org:uu-149893
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-149893URI
https://doi.org/10.1111/j.1365-2702.2007.02005.xDOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:116298230URI
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-9261URI

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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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Aim and objectives. The aim of this study was to identify risk factors for falls in older people living in nursing homes. Background. Impaired cognitive function and a poor sense of orientation could lead to an increase in falls among those with impaired freedom of movement. Many accidents occur while an older person is walking or being moved. Method. The study was carried out over four years (2000-2003) and 21 nursing home units in five municipal homes for older people in Stockholm, Sweden, participated. A questionnaire was sent to staff nurses, including questions on fall risk assessments, falls, fractures, medication and freedom-restricting measures, such as wheelchairs with belts and bed rails. The data were aggregated and not patient-bound. The study covered 2343 reported incidents. Results. There was a significant correlation between falls and fractures (r = 0.365, p = 0.004), fall risk and use of wheelchairs (r = 0.406, p = 0.001, safety belts (r = 0.403, p = 0.001 and bed rails (r = 0.446, p = 0.000) and between the occurrence of fractures and the use of sleeping pills with benzodiazepines (r = 0.352, p = 0.005). Associations were also found between fall risk and the use of anti-depressants (r = 0.412, p = 0.001). Conclusions. In clinical practice, patient safety is very important. Preventative measures should focus on risk factors associated with individuals, including their environment. Wheelchairs with safety belts and bed rails did not eliminate falls but our results support the hypothesis that they might be protective when used selectively with less anti-depressants and sleeping pills, especially benzodiazepines.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
drugs
falls
injury prevention
nursing
old people
physical restraints
MEDICINE
MEDICIN
Nursing
Vårdvetenskap

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

Wahlin, Tarja-Brita RobinsKarolinska Institutet,Karolinska institutet (författare)
Winblad, BengtKarolinska Institutet,Karolinska institutet (författare)
Emami, AzitaKarolinska Institutet,Karolinska institutet (författare)
Sandmark, Helene,1951-Örebro universitet,Uppsala universitet,Arbets- och miljömedicin,Hälsoakademin,Arbete och Hälsa(Swepub:oru)hsk (författare)
Karolinska InstitutetKarolinska institutet (creator_code:org_t)

Sammanhörande titlar

Ingår i:Journal of Clinical NursingOxford : Wiley17:1, s. 126-1340962-10671365-2702

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Av författaren/redakt...: Fonad, Edit; Wahlin, Tarja-Br ...; Winblad, Bengt; Emami, Azita; Sandmark, Helene ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Omvårdnad

Artiklar i publikationen: Journal of Clini ...

Av lärosätet: Uppsala universitet; Karolinska Institutet; Örebro universitet

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