Podcast
Questions and Answers
What is the recommendation for assessing concerns about falling in acute care hospitals?
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?
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?
What is the GRADE recommendation for using scored falls risk screening tools in hospitals for multifactorial falls risk assessment?
- 1B
- E
- 2B (correct)
- 1A
What age group should undergo multifactorial falls risk assessment in hospitals?
What age group should undergo multifactorial falls risk assessment in hospitals?
What is recommended to be performed following a fall in hospitalised older adults?
What is recommended to be performed following a fall in hospitalised older adults?
What is the purpose of conducting a post-fall assessment in hospitalised older adults?
What is the purpose of conducting a post-fall assessment in hospitalised older adults?
What is the difference between falls risk screening tools and multifactorial falls risk assessments?
What is the difference between falls risk screening tools and multifactorial falls risk assessments?
What type of recommendation is given for using the FES-I or Short FES-I for assessing concerns about falling in acute care hospitals?
What type of recommendation is given for using the FES-I or Short FES-I for assessing concerns about falling in acute care hospitals?
What type of assessment should be performed if there is a change in an individual's condition or if they experience a fall?
What type of assessment should be performed if there is a change in an individual's condition or if they experience a fall?
Which group of individuals should receive a tailored education on falls prevention?
Which group of individuals should receive a tailored education on falls prevention?
What is the expert recommendation for assessing concerns about falling in long-term care facilities?
What is the expert recommendation for assessing concerns about falling in long-term care facilities?
According to the Cochrane review mentioned in the text, what might reduce the rate of falls in hospitals?
According to the Cochrane review mentioned in the text, what might reduce the rate of falls in hospitals?
What did the stepped-wedge, cluster-RCT investigating the impact of removing a falls risk screening tool find?
What did the stepped-wedge, cluster-RCT investigating the impact of removing a falls risk screening tool find?
What should be considered when implementing education programs for falls prevention?
What should be considered when implementing education programs for falls prevention?
What is recommended for care home residents following a fall?
What is recommended for care home residents following a fall?
What is recommended for all care home residents in terms of falls risk assessment and intervention strategy?
What is recommended for all care home residents in terms of falls risk assessment and intervention strategy?
What is the GRADE recommendation for the use of physical restraints as a measure for falls prevention in care homes?
What is the GRADE recommendation for the use of physical restraints as a measure for falls prevention in care homes?
Which of the following is NOT listed as an example of physical restraint devices to be avoided for falls prevention in care homes?
Which of the following is NOT listed as an example of physical restraint devices to be avoided for falls prevention in care homes?
What does the multifaceted approach to falls reduction in care homes include?
What does the multifaceted approach to falls reduction in care homes include?
What is a highly frequent occurrence in older adults with PD and related disorders?
What is a highly frequent occurrence in older adults with PD and related disorders?
What is recommended as part of a multidomain intervention for falls prevention in care home residents due to most residents being deficient in it?
What is recommended as part of a multidomain intervention for falls prevention in care home residents due to most residents being deficient in it?
What type of exercise training should be promoted as part of a multidomain falls prevention intervention in care homes?
What type of exercise training should be promoted as part of a multidomain falls prevention intervention in care homes?
What should implementation interventions for falls reduction in care homes focus on?
What should implementation interventions for falls reduction in care homes focus on?
What types of exercises are likely to be the most effective for falls prevention in care homes?
What types of exercises are likely to be the most effective for falls prevention in care homes?
Which type of exercise intervention was found to be more effective in preventing falls in community dwelling older adults?
Which type of exercise intervention was found to be more effective in preventing falls in community dwelling older adults?
What recommendation is given for older adults after sustaining a hip fracture?
What recommendation is given for older adults after sustaining a hip fracture?
In which setting are exercise programmes for older adults after a hip fracture best commenced according to the text?
In which setting are exercise programmes for older adults after a hip fracture best commenced according to the text?
What is recommended for fall prevention programmes in low- to middle- income countries according to the text?
What is recommended for fall prevention programmes in low- to middle- income countries according to the text?
What is recommended for falls prevention in low- to middle- income countries policies according to the text?
What is recommended for falls prevention in low- to middle- income countries policies according to the text?
What is recommended to be included in falls prevention in low- to middle- income countries according to the text?
What is recommended to be included in falls prevention in low- to middle- income countries according to the text?
What type of evidence supports the recommendation for exercise in preventing falls in older adults after hip fracture according to the text?
What type of evidence supports the recommendation for exercise in preventing falls in older adults after hip fracture according to the text?
Which type of exercise intervention was found to be more effective for individuals with relatively well-preserved abilities according to the text?
Which type of exercise intervention was found to be more effective for individuals with relatively well-preserved abilities according to the text?
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?
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?
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?
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?
What is recommended for older adults after a stroke to prevent falls?
What is recommended for older adults after a stroke to prevent falls?
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)?
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)?
What might minimally supervised exercise do for older adults with Parkinson's disease at a more advanced stage and/or with substantial cognitive impairment?
What might minimally supervised exercise do for older adults with Parkinson's disease at a more advanced stage and/or with substantial cognitive impairment?
What type of interventions may benefit specific subgroups of individuals with Parkinson's disease, such as those with Freezing of Gait (FOG)?
What type of interventions may benefit specific subgroups of individuals with Parkinson's disease, such as those with Freezing of Gait (FOG)?
What is the first critical step to falls prevention in Parkinson's disease treatment?
What is the first critical step to falls prevention in Parkinson's disease treatment?
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?
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?
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.
