45 Questions
What is the recommended preventive measure for older adults deemed as low risk for falling?
Regular strength and balance exercise
What intervention is recommended for older adults at intermediate risk of falling?
Strength and balance exercise
Which characteristic(s) indicate high risk in older adults according to the text?
Difficulty in getting up without help after a fall
What should be triggered if there is suspicion of a syncopal fall?
Syncope evaluation and management
Which instrument can be used for detecting frailty in older adults?
Frailty phenotype (FP)
What is recommended for older adults with multiple falls (≥2 falls) in the previous 12 months?
Multifactorial falls risk assessment
Which group of older adults is deemed as being at ‘intermediate risk’ according to the text?
Those who had a single non-severe fall with gait and/or balance problems
For which group of older adults is a syncope evaluation and management recommended?
'High risk' older adults
What is the recommendation for falls reduction in care home residents?
Implement a multidomain decision support tool and provide staff training
Should care homes use physical restraints as a measure for falls prevention?
No
In which domain is it recommended to include routine assessment of cognition as part of multifactorial falls risk assessment in older adults?
Cognition and Falls Assessment
What is the conditional recommendation for falls risk assessment for older adults with PD?
Use a self-report 3-risk factor assessment tool
What kind of exercise programmes are recommended for adults with PD at an early to mid-stage and with mild or no cognitive impairment?
Individualised exercise programmes including balance and resistance training exercise
What is conditionally recommended to be used in combination with physical exercise as part of falls prevention programmes in the community?
Telehealth and/or smart home systems
What is not supported by current evidence for falls prevention according to the text?
Wearables
In low- and middle-income countries (LMIC), what is conditionally recommended to be prioritized as risk factors for falls?
What kind of assessment should be offered to community-dwelling older adults identified to be at high risk of falling?
Multiprofessional, multifactorial assessment
What type of interventions should be offered to community-dwelling older adults identified to be at high risk of falling?
Multidomain interventions
Who should be responsible for identifying an individual’s environmental hazards and assessing their capacities and behaviors in relation to them?
A trained clinician
Who should provide modifications of an older adult's physical home environment for fall hazards as part of a multidomain falls prevention intervention?
Trained clinician
What should clinicians routinely ask about in their interactions with older adults?
Falls
What should clinicians enquire about as part of a comprehensive fall assessment?
Perceptions of older adults about falls and their causes
What should a care plan developed to prevent falls and related injuries incorporate?
The goals, values and preferences of the older adult
What should be included in a multifactorial falls risk assessment of older adults?
Evaluation of concern about falling and fear of falling
What is recommended for assessing concerns about falling in community-dwelling older adults?
Falls Efficacy Scale International (FES-I)
What is recommended for assessing concerns about falling in acute care hospitals or long-term care facilities?
FES-I or Short FES-I
Which criteria categorizes an individual as 'frail' according to the Frailty Phenotype?
Slow gait speed and low physical activity
What is considered as frail according to the Clinical Frailty Scale (CFS)?
A score of 4 or higher
What is the purpose of the assessment in relation to addressing falls?
To identify potentially contributing fall risk factors
What does the assessment for reducing the risk of falling need to consider in older adults?
Their physical, cognitive, and psychological resources
Which measurement approach is recommended for assessing balance disorders?
Tinetti test
In which setting is tailored education on falls prevention recommended for all individuals aged 65 or above?
Hospitals
What is recommended for care home residents at admission to identify factors contributing to fall risk?
Implement multifactorial falls risk assessment
What is recommended following a fall in care home residents?
Adjust the intervention strategy for the resident
What does Table 4 provide an overview of in terms of assessment?
Potential approaches for multifactorial falls risk assessment
What is the recommended approach to falls reduction for care home residents according to the text?
Nutritional optimization
What is conditionally recommended for falls risk assessment for older adults with Parkinson's disease (PD)?
Self-report 3-risk factor assessment tool
What is recommended as part of a multidomain intervention for falls prevention in care home residents?
Supplementation of vitamin D
What is conditionally recommended for falls prevention programmes in the community?
Use of telehealth and smart home systems
What is conditionally recommended to be prioritized as risk factors for falls in low- and middle-income countries (LMIC)?
Assessment of environmental hazards
Which intervention is recommended for people with complex phase Parkinson's disease (PD) if supervision by a physiotherapist or other suitably qualified professional is available?
Exercise training targeting balance and strength
What is the recommendation for assessing mobility in low- and middle-income countries (LMIC) settings?
Use of validated tools freely available in the country of residence
What is conditionally recommended when creating individual falls prevention care plans for adults with cognitive impairment?
Including both the older adult's and caregiver’s perspectives
What is conditionally recommended for older adults with Parkinson's disease (PD) at an early to mid-stage and with mild or no cognitive impairment?
'Individualized exercise programmes including balance and resistance training exercise'
What type of evidence does not support the use of wearables for falls prevention?
Current evidence
Test your knowledge on care homes management and interventions with a focus on falls reduction, staff training, decision support tools, and falls prevention actions. Explore recommendations for and against specific measures for falls prevention in care homes.
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