2.50
Hdl Handle:
http://hdl.handle.net/10755/304405
Category:
Abstract
Type:
Presentation
Title:
Screening Older Adults At-Risk for Falls
Author(s):
Brown Reid, Tina P.; Newton, Roberta A.; Klima, Dennis W.
Lead Author STTI Affiliation:
Non-member
Author Details:
Tina P. Brown Reid, EdD, MSN, BSN, RN, tpreid@salisbury.edu; Roberta A. Newton, PT, PhD; Dennis W. Klima, PT, MS, PhD;
Abstract:

Poster presented on: Tuesday, July 23, 2013, Monday, July 22, 2013

Background: The purpose of the study was to utilize a Fall Risk Screening tool to identify older adults at risk for falls in both the Emergency Department (ED) and community settings.

Methods: Forty-two community-dwelling older adults completed the initial pilot and follow-up phases of the Fall Risk Screen in the ED. Upon completion of the initial phase, the screening tool was revised by adding select physical performance tests, including the Timed Up and Go (TUG), Multidirectional Reach and tandem test instruments, and then administered to a second cohort of 103 older adults on-site in the community. Three month follow-up was performed. Statistical analyses included demographic analyses and logistic regression modeling for prediction of falls.

Results: Fifteen of the ED patients (35.7%) had two major fall risk factors, including: previous falls, decreased leg strength, and balance and gait problems. On follow-up, three falls occurred in two people. Of the 103 community living subjects (age: 79.3 ± 10.4 years) completing the 3-month follow-up with the revised instrument, 76.7% had one or more major fall risk factors. Select questions and objective physical performance tests predicted future falls by 70%. TUG Test performance slower than 12 seconds, a forward reach excursion > nine inches, and summed semi-tandem/tandem time >20 seconds were independent predictors of falls among the community-living group (p<0.05).

Conclusions: The revised Fall Risk Screen is beneficial for identifying older adults at risk for falls and demonstrates both psychometric stability and clinical utility to predict falls among community-living older adults. Our cut-off fall threshold score of 12 seconds is faster than previously reported findings. Interdisciplinary education and interventions, including joint nursing and rehabilitation initiatives, are warranted.

Keywords:
fear of falling; emergency department; fall risk
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleScreening Older Adults At-Risk for Fallsen_GB
dc.contributor.authorBrown Reid, Tina P.en_GB
dc.contributor.authorNewton, Roberta A.en_GB
dc.contributor.authorKlima, Dennis W.en_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsTina P. Brown Reid, EdD, MSN, BSN, RN, tpreid@salisbury.edu; Roberta A. Newton, PT, PhD; Dennis W. Klima, PT, MS, PhD;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304405-
dc.description.abstract<p>Poster presented on: Tuesday, July 23, 2013, Monday, July 22, 2013</p>Background: The purpose of the study was to utilize a Fall Risk Screening tool to identify older adults at risk for falls in both the Emergency Department (ED) and community settings. <p>Methods: Forty-two community-dwelling older adults completed the initial pilot and follow-up phases of the Fall Risk Screen in the ED. Upon completion of the initial phase, the screening tool was revised by adding select physical performance tests, including the Timed Up and Go (TUG), Multidirectional Reach and tandem test instruments, and then administered to a second cohort of 103 older adults on-site in the community. Three month follow-up was performed. Statistical analyses included demographic analyses and logistic regression modeling for prediction of falls. <p>Results: Fifteen of the ED patients (35.7%) had two major fall risk factors, including: previous falls, decreased leg strength, and balance and gait problems. On follow-up, three falls occurred in two people. Of the 103 community living subjects (age: 79.3 ± 10.4 years) completing the 3-month follow-up with the revised instrument, 76.7% had one or more major fall risk factors. Select questions and objective physical performance tests predicted future falls by 70%. TUG Test performance slower than 12 seconds, a forward reach excursion > nine inches, and summed semi-tandem/tandem time >20 seconds were independent predictors of falls among the community-living group (p<0.05). <p>Conclusions: The revised Fall Risk Screen is beneficial for identifying older adults at risk for falls and demonstrates both psychometric stability and clinical utility to predict falls among community-living older adults. Our cut-off fall threshold score of 12 seconds is faster than previously reported findings. Interdisciplinary education and interventions, including joint nursing and rehabilitation initiatives, are warranted.en_GB
dc.subjectfear of fallingen_GB
dc.subjectemergency departmenten_GB
dc.subjectfall risken_GB
dc.date.available2013-10-22T20:35:12Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:35:12Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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