Are Older Adults Receiving Evidence-Based Advice to Prevent Falls Post-Discharge from Hospital?

Autor/inn/en	Lee, Den-Ching A.; Brown, Ted; Stolwyk, Rene; O'Connor, Daniel W.; Haines, Terry P.
Titel	Are Older Adults Receiving Evidence-Based Advice to Prevent Falls Post-Discharge from Hospital?
Quelle	In: Health Education Journal, 75 (2016) 4, S.448-463 (16 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0017-8969
DOI	10.1177/0017896915599562
Schlagwörter	Foreign Countries; Older Adults; Evidence Based Practice; Accidents; Accident Prevention; Hospitals; Patient Education; Institutionalized Persons; Cohort Analysis; Questionnaires; Predictor Variables; Interpersonal Communication; Physician Patient Relationship; Health Personnel; Recall (Psychology); Intervention; Data Analysis; Regression (Statistics); Qualitative Research; Australia + Suchen Sie Ihr Suchwort? Ausland; Älterer Erwachsener; Accident statistics; Unfall; Statistik; Unfallstatistik; Krankengymnast; Krankenhaus; Kohortenanalyse; Fragebogen; Prädiktor; Interpersonale Kommunikation; Arzt-Patient-Beziehung; Medizinisches Personal; Abberufung; Auswertung; Regression; Regressionsanalyse; Qualitative Forschung; Australien
Abstract	Background: Older adults experience a high rate of falls when they transition to community-living following discharge from hospital. Objectives: To describe the proportion of older adults who could recall having discussed falls and falls prevention strategies with a health professional within 6 months following discharge from hospital. To describe the recalled content of these discussions and the strategies recommended and/or undertaken to prevent falls. Methods: Prospective cohort study of 155 older adults surveyed prior to discharge from hospital, of whom 123 were followed up at month 3 and/or month 6 in the community post-discharge. Participants were recruited from three Australian hospitals. Questionnaires captured predictive factors that may predispose to a fall and data related to the objectives being examined. Results: Of the 123 participants who had at least one follow-up, 54 reported discussing falls with a health professional (49 discussed falls with their general practitioners). Of the 54 participants who recalled having a discussion, 33 commented that they were asked whether they had fallen over. Only six discussed interventions to prevent falls. However, 44 stated that they attempted a total of 53 strategies to prevent falls post-discharge. Of these strategies, 40 had an absence of evidence of effectiveness, 11 had evidence of effectiveness, while two had either evidence of no benefit/harm or evidence of harm for the prevention of falls. In all, 53 participants reported falling post-discharge, but 42% of them did not recall discussing falls with their health professional. Conclusion: There is considerable scope for health professionals, especially general practitioners, to increase the frequency with which they discuss falls and evidence-based interventions to prevent falls in this population. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01