Falls and Fall-Related Injuries in Elderly Nursing Home Residents: Exploring the Person and Environment

2.50
Hdl Handle:
http://hdl.handle.net/10755/150337
Type:
Presentation
Title:
Falls and Fall-Related Injuries in Elderly Nursing Home Residents: Exploring the Person and Environment
Abstract:
Falls and Fall-Related Injuries in Elderly Nursing Home Residents: Exploring the Person and Environment
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Hill, Elizabeth E., PhD, RN
P.I. Institution Name:Johns Hopkins University
Title:Assistant Professor
Co-Authors:Ann L. Gruber-Baldini, PhD; Eileen T. Doll, BS, RN; Kathleen A. Griffith, PhD, CRNP; Benita Jeanne Walton-Moss, DNS; Jennifer A. Wenzel, PhD, RN, CCM
[Scientific session research presentation] Background: Approximately 750,000 nursing home (NH) residents fall annually, with resultant injuries ranging from minor to major, including death. Circumstances surrounding fall events, particularly environmental ones, are not well documented. Environmental fall prevention interventions, designed without scientific basis, have shown minimal effectiveness. The purpose of this study, guided by Lawton's Ecological Model of Aging, was to explore person and environmental circumstances surrounding fall events and their interaction (e.g. high fall-risk activities). Methods: Six months of incident report and Minimum Data Set 2.0 data were analyzed for a group of 597 fallers of a nine-facility Maryland NH corporation. Content analysis of open-ended fall event descriptions was used to generate lists of person and environmental factors and high fall-risk activities, which were assigned to a group of 1,297 fall events. Results: Residents were on average 82 years old, more than half were female, had moderate-severe cognitive impairment and urinary incontinence. Analyses of 1,297 falls revealed loss of balance (5%) the most commonly reported person factor and wheelchairs (23%) the most common environmental factor. In 5% of events, residents attempted to perform activities unassisted. High fall-risk activities included: transferring (6%) and standing (7%). Slipping from beds, wheelchairs, and other surfaces occurred in 18% of events. Falls resulted in 3% major injuries and 20% minor injuries. With injurious falls, balance and wheelchairs were most commonly reported. High fall-risk activities included standing (7%) and walking (8%). Conclusions: Discussion of findings will emphasize the importance of assessments and interventions for the person and environment of elderly NH residents. Large numbers of falls involving wheelchairs highlight the importance of modifying environmental risk factors, often under nursing's control. Comprehensive, resident-specific interventions for modifying risk factors and performance of high fall-risk activities are critical for fall and fall-related injury prevention. Funded by STTI and ANF 2004-2005 grant.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleFalls and Fall-Related Injuries in Elderly Nursing Home Residents: Exploring the Person and Environmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/150337-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Falls and Fall-Related Injuries in Elderly Nursing Home Residents: Exploring the Person and Environment</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Hill, Elizabeth E., PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Johns Hopkins University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ehill01@jhu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Ann L. Gruber-Baldini, PhD; Eileen T. Doll, BS, RN; Kathleen A. Griffith, PhD, CRNP; Benita Jeanne Walton-Moss, DNS; Jennifer A. Wenzel, PhD, RN, CCM</td></tr><tr><td colspan="2" class="item-abstract">[Scientific session research presentation] Background: Approximately 750,000 nursing home (NH) residents fall annually, with resultant injuries ranging from minor to major, including death. Circumstances surrounding fall events, particularly environmental ones, are not well documented. Environmental fall prevention interventions, designed without scientific basis, have shown minimal effectiveness. The purpose of this study, guided by Lawton's Ecological Model of Aging, was to explore person and environmental circumstances surrounding fall events and their interaction (e.g. high fall-risk activities). Methods: Six months of incident report and Minimum Data Set 2.0 data were analyzed for a group of 597 fallers of a nine-facility Maryland NH corporation. Content analysis of open-ended fall event descriptions was used to generate lists of person and environmental factors and high fall-risk activities, which were assigned to a group of 1,297 fall events. Results: Residents were on average 82 years old, more than half were female, had moderate-severe cognitive impairment and urinary incontinence. Analyses of 1,297 falls revealed loss of balance (5%) the most commonly reported person factor and wheelchairs (23%) the most common environmental factor. In 5% of events, residents attempted to perform activities unassisted. High fall-risk activities included: transferring (6%) and standing (7%). Slipping from beds, wheelchairs, and other surfaces occurred in 18% of events. Falls resulted in 3% major injuries and 20% minor injuries. With injurious falls, balance and wheelchairs were most commonly reported. High fall-risk activities included standing (7%) and walking (8%). Conclusions: Discussion of findings will emphasize the importance of assessments and interventions for the person and environment of elderly NH residents. Large numbers of falls involving wheelchairs highlight the importance of modifying environmental risk factors, often under nursing's control. Comprehensive, resident-specific interventions for modifying risk factors and performance of high fall-risk activities are critical for fall and fall-related injury prevention. Funded by STTI and ANF 2004-2005 grant.</td></tr></table>en_GB
dc.date.available2011-10-26T10:22:02Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:22:02Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.