Fall Prevention Quiz for Seniors: Care Home Residents

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Questions and Answers

What is the recommendation for assessing concerns about falling in acute care hospitals?

Conducting a post-fall assessment

Using the FES-I or especially the Short FES-I (correct)

Using scored falls risk screening tools

Performing a multifactorial falls risk assessment

Why is there a case for dis-investing from fall risk screening tool scoring in the hospital setting?

It identifies underlying risk factors

It takes valuable time without reducing falls (correct)

It reduces falls and injuries

It informs the development of a care plan

What is the GRADE recommendation for using scored falls risk screening tools in hospitals for multifactorial falls risk assessment?

2B (correct)

What age group should undergo multifactorial falls risk assessment in hospitals?

65 years and above Signup and view all the answers

What is recommended to be performed following a fall in hospitalised older adults?

Conducting a post-fall assessment Signup and view all the answers

What is the purpose of conducting a post-fall assessment in hospitalised older adults?

To identify the mechanism of the fall and any resulting injuries Signup and view all the answers

What is the difference between falls risk screening tools and multifactorial falls risk assessments?

Falls risk screening tools are sometimes used interchangeably with multifactorial falls risk assessments Signup and view all the answers

What type of recommendation is given for using the FES-I or Short FES-I for assessing concerns about falling in acute care hospitals?

Expert recommendation Signup and view all the answers

What type of assessment should be performed if there is a change in an individual's condition or if they experience a fall?

Multifactorial falls risk assessment Signup and view all the answers

Which group of individuals should receive a tailored education on falls prevention?

Hospitalized older adults and high-risk groups Signup and view all the answers

What is the expert recommendation for assessing concerns about falling in long-term care facilities?

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

According to the Cochrane review mentioned in the text, what might reduce the rate of falls in hospitals?

Multifactorial falls risk assessment Signup and view all the answers

What did the stepped-wedge, cluster-RCT investigating the impact of removing a falls risk screening tool find?

No impact on falls rate Signup and view all the answers

What should be considered when implementing education programs for falls prevention?

Individual's cognitive status Signup and view all the answers

What is recommended for care home residents following a fall?

Conducting a post-fall assessment Signup and view all the answers

What is recommended for all care home residents in terms of falls risk assessment and intervention strategy?

Comprehensive multifactorial assessment and tailored intervention strategy Signup and view all the answers

What is the GRADE recommendation for the use of physical restraints as a measure for falls prevention in care homes?

GRADE: 1B. Strong recommendation Signup and view all the answers

Which of the following is NOT listed as an example of physical restraint devices to be avoided for falls prevention in care homes?

Hospital gowns Signup and view all the answers

What does the multifaceted approach to falls reduction in care homes include?

Nutritional optimisation and exercise training Signup and view all the answers

What is a highly frequent occurrence in older adults with PD and related disorders?

Freezing of gait (FOG) Signup and view all the answers

What is recommended as part of a multidomain intervention for falls prevention in care home residents due to most residents being deficient in it?

Vitamin D supplementation Signup and view all the answers

What type of exercise training should be promoted as part of a multidomain falls prevention intervention in care homes?

Individual supervised exercises only Signup and view all the answers

What should implementation interventions for falls reduction in care homes focus on?

Modifiable barriers and facilitators such as communication, knowledge, and skills Signup and view all the answers

What types of exercises are likely to be the most effective for falls prevention in care homes?

Combination of exercises including balance and strength Signup and view all the answers

Which type of exercise intervention was found to be more effective in preventing falls in community dwelling older adults?

Tai Chi Signup and view all the answers

What recommendation is given for older adults after sustaining a hip fracture?

An individualized and progressive exercise programme aimed at improving mobility Signup and view all the answers

In which setting are exercise programmes for older adults after a hip fracture best commenced according to the text?

Hospital Signup and view all the answers

What is recommended for fall prevention programmes in low- to middle- income countries according to the text?

Screening opportunistically for fall risk during any clinical encounter Signup and view all the answers

What is recommended for falls prevention in low- to middle- income countries policies according to the text?

Using culturally sensitive strategies Signup and view all the answers

What is recommended to be included in falls prevention in low- to middle- income countries according to the text?

Prioritizing assessments of risk factors for cognitive impairment, obesity including sarcopenic obesity, diabetes, lack of appropriate footwear, and environmental hazards Signup and view all the answers

What type of evidence supports the recommendation for exercise in preventing falls in older adults after hip fracture according to the text?

Moderate Signup and view all the answers

Which type of exercise intervention was found to be more effective for individuals with relatively well-preserved abilities according to the text?

(Resistance + balance training) Signup and view all the answers

Which type of exercise programme should be offered to older adults with Parkinson's disease at an early to mid-stage and with mild or no cognitive impairment?

Individualised balance and resistance training Signup and view all the answers

At what Movement Disorders Society Unified Parkinson’s Disease rating Scale (MDS-UPDRS) motor score can a person be regarded as having complex stage PD?

$\geq$34 Signup and view all the answers

What is recommended for older adults after a stroke to prevent falls?

Participation in individualised exercise programmes aimed at improving strength/balance/walking Signup and view all the answers

What is the main focus of exercise interventions for falls prevention in older adults with cognitive impairment (mild cognitive impairment and mild to moderate dementia)?

Balance and strength exercises Signup and view all the answers

What might minimally supervised exercise do for older adults with Parkinson's disease at a more advanced stage and/or with substantial cognitive impairment?

Increase the risk of falls Signup and view all the answers

What type of interventions may benefit specific subgroups of individuals with Parkinson's disease, such as those with Freezing of Gait (FOG)?

Progressive balance and lower limb strengthening exercises Signup and view all the answers

What is the first critical step to falls prevention in Parkinson's disease treatment?

Minimizing side effects of medication Signup and view all the answers

How should older adults with Parkinson's disease at a complex stage or with moderate or severe cognitive impairment have their exercise interventions supervised and modified?

By a physiotherapist or other suitably qualified professional Signup and view all the answers

Study Notes

Assessing Concerns about Falling in Acute Care Hospitals

There is a case for dis-investing from fall risk screening tool scoring in hospitals due to the GRADE recommendation against using scored falls risk screening tools in hospitals for multifactorial falls risk assessment.
Multifactorial falls risk assessment is recommended for individuals 65 years or older.
Following a fall in hospitalized older adults, a post-fall assessment should be performed to identify modifiable risk factors and develop a tailored intervention strategy.
The purpose of conducting a post-fall assessment is to identify underlying causes of the fall and develop a plan to prevent future falls.

Falls Risk Screening Tools vs. Multifactorial Falls Risk Assessment

Falls risk screening tools are not the same as multifactorial falls risk assessments; the latter is a comprehensive assessment of an individual's fall risk.
Multifactorial falls risk assessments identify modifiable risk factors, develop a plan to address those factors, and monitor progress.

Recommendations for Falls Prevention

Education on falls prevention should be provided to hospitalized older adults who have experienced a fall or are at risk of falling.
For care home residents who experience a fall, a multifaceted post-fall assessment and intervention strategy should be implemented.
A tailored education on falls prevention should be provided to care home residents and staff.
The use of physical restraints as a measure for falls prevention in care homes is not recommended.

Interventions for Falls Prevention

A multifaceted approach to falls reduction in care homes includes identifying and addressing modifiable risk factors, such as vision impairment, and providing exercise programs and education on falls prevention.
Vitamin D supplementation is recommended as part of a multidomain intervention for falls prevention in care home residents.
Balance and functional exercise training should be promoted as part of a multidomain falls prevention intervention in care homes.
Implementation interventions for falls reduction in care homes should focus on increasing staff knowledge, skills, and behavior around falls prevention.

Exercise Interventions for Falls Prevention

Exercise programs for older adults after a hip fracture should be commenced in an inpatient setting.
For older adults with Parkinson's disease, exercise interventions should be modified and supervised according to their stage and cognitive impairment.
Minimally supervised exercise may be beneficial for older adults with Parkinson's disease at a more advanced stage and/or with substantial cognitive impairment.
Exercise interventions for falls prevention in older adults with cognitive impairment (mild cognitive impairment and mild to moderate dementia) should focus on balance and functional exercises.

Falls Prevention in Low- to Middle-Income Countries

Falls prevention programs in low- to middle-income countries should be tailored to the local context and resources.
Policies for falls prevention in low- to middle-income countries should prioritize resource allocation for falls prevention programs.
Education on falls prevention should be included in falls prevention programs in low- to middle-income countries.

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Description

Test your knowledge about falls reduction for care home residents, including staff training, multidomain decision support tools, falls prevention actions, and nutritional optimization. Learn about strong recommendations against using physical restraints and the importance of nutritional factors in falls prevention.

Falls Prevention for Care Home Residents Quiz