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Rate of accidental falls in institutionalised older people with and without cognitive impairment halved as a result of a staff-oriented intervention
Author(s)Anne Bouwen, Jan de Lepeleire, Frank Buntinx
Journal titleAge and Ageing, vol 37, no 3, May 2008
Pagespp 306-310
Sourcehttp://www.ageing.oupjournals.org
KeywordsFalls ; Dementia ; Residents [care homes] ; Nursing homes ; Preventative medicine ; Care home staff ; In-service training ; Evaluation ; Belgium.
AnnotationA simple staff-oriented intervention had a substantial effect on the frequency of accidental falls. In a clustered randomised controlled trial, 10 nursing wards from 7 nursing homes, 5 wards were randomised in a control 5 in an intervention group. Nurses from the intervention group received multi-faceted training about the occurrences of accidental fall, risk factors for falls, and possible environmental modifications. For each fall, they were asked to record the relevant risk factors, to keep a fall diary and to evaluate fall causes and possible preventive actions. For all residents, cognition and mobility were evaluated using a Mini Mental State Examination (MMSE) and a Timed Up and Go Test (TUGT). Fall rate were recorded in an identical way for 6 months before and after the start of the intervention. The relative risk of falling at least once in people in the intervention versus the control group adjusted for the pre-intervention results was 0.46. There was no difference between residents with and without cognitive impairment or impaired mobility. In those falling at least once, the difference between the average number of falls in the two intervention arms was not significant. (RH).
Accession NumberCPA-080618216 A
ClassmarkOLF: EA: KX: LHB: LK2: QRM: QWD: 4C: 76E

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