Care Homes Management and Interventions Quiz

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What is the recommended preventive measure for older adults deemed as low risk for falling?

Regular strength and balance exercise (correct)

Quarterly syncope evaluation

Annual vision check-up

Bi-annual frailty assessment

What intervention is recommended for older adults at intermediate risk of falling?

Strength and balance exercise (correct)

Vision check-up

Multifactorial falls risk assessment

Frailty assessment

Which characteristic(s) indicate high risk in older adults according to the text?

Hearing impairment

Difficulty in getting up without help after a fall (correct)

Recent memory loss

Chronic back pain

What should be triggered if there is suspicion of a syncopal fall?

Syncope evaluation and management Signup and view all the answers

Which instrument can be used for detecting frailty in older adults?

Frailty phenotype (FP) Signup and view all the answers

What is recommended for older adults with multiple falls (≥2 falls) in the previous 12 months?

Multifactorial falls risk assessment Signup and view all the answers

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 Signup and view all the answers

For which group of older adults is a syncope evaluation and management recommended?

'High risk' older adults Signup and view all the answers

What is the recommendation for falls reduction in care home residents?

Implement a multidomain decision support tool and provide staff training Signup and view all the answers

Should care homes use physical restraints as a measure for falls prevention?

No Signup and view all the answers

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 Signup and view all the answers

What is the conditional recommendation for falls risk assessment for older adults with PD?

Use a self-report 3-risk factor assessment tool Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

What is not supported by current evidence for falls prevention according to the text?

Wearables Signup and view all the answers

In low- and middle-income countries (LMIC), what is conditionally recommended to be prioritized as risk factors for falls?

Signup and view all the answers

What kind of assessment should be offered to community-dwelling older adults identified to be at high risk of falling?

Multiprofessional, multifactorial assessment Signup and view all the answers

What type of interventions should be offered to community-dwelling older adults identified to be at high risk of falling?

Multidomain interventions Signup and view all the answers

Who should be responsible for identifying an individual’s environmental hazards and assessing their capacities and behaviors in relation to them?

A trained clinician Signup and view all the answers

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 Signup and view all the answers

What should clinicians routinely ask about in their interactions with older adults?

Falls Signup and view all the answers

What should clinicians enquire about as part of a comprehensive fall assessment?

Perceptions of older adults about falls and their causes Signup and view all the answers

What should a care plan developed to prevent falls and related injuries incorporate?

The goals, values and preferences of the older adult Signup and view all the answers

What should be included in a multifactorial falls risk assessment of older adults?

Evaluation of concern about falling and fear of falling Signup and view all the answers

What is recommended for assessing concerns about falling in community-dwelling older adults?

Falls Efficacy Scale International (FES-I) Signup and view all the answers

What is recommended for assessing concerns about falling in acute care hospitals or long-term care facilities?

FES-I or Short FES-I Signup and view all the answers

Which criteria categorizes an individual as 'frail' according to the Frailty Phenotype?

Slow gait speed and low physical activity Signup and view all the answers

What is considered as frail according to the Clinical Frailty Scale (CFS)?

A score of 4 or higher Signup and view all the answers

What is the purpose of the assessment in relation to addressing falls?

To identify potentially contributing fall risk factors Signup and view all the answers

What does the assessment for reducing the risk of falling need to consider in older adults?

Their physical, cognitive, and psychological resources Signup and view all the answers

Which measurement approach is recommended for assessing balance disorders?

Tinetti test Signup and view all the answers

In which setting is tailored education on falls prevention recommended for all individuals aged 65 or above?

Hospitals Signup and view all the answers

What is recommended for care home residents at admission to identify factors contributing to fall risk?

Implement multifactorial falls risk assessment Signup and view all the answers

What is recommended following a fall in care home residents?

Adjust the intervention strategy for the resident Signup and view all the answers

What does Table 4 provide an overview of in terms of assessment?

Potential approaches for multifactorial falls risk assessment Signup and view all the answers

What is the recommended approach to falls reduction for care home residents according to the text?

Nutritional optimization Signup and view all the answers

What is conditionally recommended for falls risk assessment for older adults with Parkinson's disease (PD)?

Self-report 3-risk factor assessment tool Signup and view all the answers

What is recommended as part of a multidomain intervention for falls prevention in care home residents?

Supplementation of vitamin D Signup and view all the answers

What is conditionally recommended for falls prevention programmes in the community?

Use of telehealth and smart home systems Signup and view all the answers

What is conditionally recommended to be prioritized as risk factors for falls in low- and middle-income countries (LMIC)?

Assessment of environmental hazards Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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' Signup and view all the answers

What type of evidence does not support the use of wearables for falls prevention?

Current evidence Signup and view all the answers