To deliver safe and high-quality care, clinical data on nursing-sensitive indicators and transparency are needed. A comprehensive narrative review of the literature was conducted to describe the prevalence and incidence of nursing-sensitive indicators, namely, falls, incontinence, malnutrition, pain, pressure injury and restraints in home care. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Why you should read this article:
To identify medicines that can precipitate or cause falls, as well as those that can increase the risk of fall-related injuries
To understand the importance of including medication reviews as part of falls prevention strategies
To consider actions you could take in your practice to prevent medicines-related falls in older people
To read the full article, log in using your NHS OpenAthens details.
To examine the association between hearing aids (HAs) and time to diagnosis of Alzheimer disease (AD) or dementia, anxiety or depression, and injurious falls among adults, aged 66 years and older, within 3 years of hearing loss (HL) diagnosis.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Clinical manager Lindsay Rees’s initiative has reduced falls among care home residents without curbing their activities by embracing positive risk
An individual falls risk factor assessment and care plan introduced by Lindsay Rees (pictured) reduced the number of falls in a pilot project and helped her win the Nursing Older People category of the RCNi Nurse Awards 2019. To read the full article, log in using your MPFT NHS OpenAthens details.
Accidents are among the leading preventable causes of death, serious injury and long-term disability, while falls are the leading accident-related cause of death and hospital admission among older people. To read the full article, log in using your MPFT NHS OpenAthens details.
Open access. Vitamin K is thought to be involved in both bone health and maintenance of neuromuscular function. We tested the effect of vitamin K2 supplementation on postural sway, falls, healthcare costs, and indices of physical function in older people at risk of falls.
A smaller social network is associated with worse health‐related outcomes in older people. We examined the impact of social connections and social support on the risk of injurious fall and on fall‐related functional decline and mortality.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Older adults recently discharged from the hospital are known to be at risk of functional decline and falls. This study evaluated the effect of a tailored education program provided in the hospital on older adult engagement in fall prevention strategies within 6 months after hospital discharge.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Balance training using unstable support surfaces is widely used in clinics and research and can reduce the risk of falls in older people. This study aimed to investigate the effect of an exercise programme using a foam bead bag on older adults' ability to balance and the strength of their lower extremities and compare the effect with no exercise and foam pad exercise using the same programme. To read the full article, log in using your MPFT NHS OpenAthens details.
At least one third of people over the age of 65 living in the community fall each year, and falls are the leading cause of death from accidental injury worldwide. Exercise routines can reduce the number of falls in older people, however, as long as they include balance and functional training. To read the full article, log in using your MPFT NHS OpenAthens details.
Injuries caused by falling are a major health concern among older population. For older people, falls are the leading cause of head injuries; especially, persons with cognitive disorders have an increased risk of falling. Objective: To compare the incidence of head injury and traumatic brain injury (TBI) among persons with Alzheimer’s disease (AD) with persons without AD. To read the full article, log in using your NHS OpenAthens details.
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NHS Long Term Plan calls for acceleration towards same-day emergency care for older people. Whether it is in hospital or the community, the NHS Long Term Plan places older people at the heart of the new vision for the health service. To read the full article, log in using your MPFT NHS OpenAthens details.
Objective To explore the experiences of healthcare professionals working in falls prevention and memory assessment services in providing assessments and interventions for falls risk reduction in people with dementia. Open Access Article
A simulation-based training course was designed to support the development of nurses’ skills in falls assessment and prevention. National guidance on falls risk assessment and prevention was used to develop the course content. The course enabled participants to practise real-life scenarios in a safe environment, reflect on their performance and receive feedback from their peers. The post-course evaluations showed positive feedback with all the nurses reporting benefit from this style of learning. They all thought their participation would have a significant effect on their clinical practice and aid their ability to care for patients who had fallen. On an organisational level, the trust has seen an 11% reduction in the number of falls since the training was introduced in 2016. To read the full article, log in using your MPFT NHS OpenAthens details.
We've added 10 new Be Aware updates following your suggestions:
Musculoskeletal ; Osteoporosis ; Nutrition and obesity ; Falls ; HR ; Research Methods ; Information Governance ; Bladder, bowel and pelvic healthcare ; Rheumatology ; Medicines and healthcare products regulatory agency (circulated email)
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Implications for practice and research
> Multifactorial interventions may reduce fall rates in older people, whereas multiple component interventions may reduce risk of and rates of falls.However, evidence is low quality, so findings have limited implications to practice.
> Further research is required to determine the effectiveness of more specific intervention strategies, particularly those related to exercise and adherence to interventional regimes. To read the full article, log in using your NHS OpenAthens details
Implications for practice and research
> Fear of falling (FOF) is common, even in the absence of recent falls. Health professionals should assess older people who present with falls, near falls or unsteady gait for the presence of FOF, and if identified, exercise or cognitive–behavioural intervention should be considered.
> Future research should evaluate the effectiveness of interventions to address FOF on preventing or minimising development of incident disability. Free Article