Physical Fitness and Fall Risk Quiz

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What is the systematic process of decision-making and intervention that should occur for falls risk case findings?

Fall risk stratification algorithm (correct)

Multicomponent exercise

Physical fitness

Multidomain interventions

Which type of program combines strength, aerobic, balance, gait and flexibility training?

Multicomponent exercise (correct)

Physical activity

Telehealth

Smart home systems

How is physical activity in daily life categorized?

Household or other activities (correct)

Conditioning only

Occupational only

Sports only

What do Smart home systems aim to do?

Forecast potentially impending falls using sensors and AI technology Signup and view all the answers

What does the Three Incontinence Questionnaire (3IQ) assess?

Incontinence severity Signup and view all the answers

What does the Short Falls Efficacy Scale International (Short FES-I) measure?

Fear of falling Signup and view all the answers

What is the aim of the Trail Making Test (TMT)?

Measuring cognitive abilities Signup and view all the answers

What is the grading scale used for recommendations?

1 strong to 2 weak Signup and view all the answers

What was the purpose of the modified GRADE system mentioned in the text?

To indicate the strength of the recommendation Signup and view all the answers

What does a recommendation graded as 'E' indicate?

Expert consensus advice recommendation Signup and view all the answers

What did the ad hoc WG of 8 clinician experts develop based on the evidence provided by the WGs?

Falls assessment and management algorithm Signup and view all the answers

What does the full membership list of committees and WGs provide?

Evidence based on GRADE criteria Signup and view all the answers

What is the strength of the contributing evidence graded as according to the modified GRADE criteria?

Strong to weak-conditional Signup and view all the answers

Based on the text, what does a '2 weak-conditional' signify in the grading scale for recommendations?

'C' grade recommendation Signup and view all the answers

What is used to indicate the strength of the recommendation based on the original GRADE system?

Numbers Signup and view all the answers

In the Modified GRADE system, which strength of recommendation indicates that the benefits clearly outweigh undesirable effects?

1 Strong Signup and view all the answers

According to the Modified GRADE system, which quality of evidence suggests that further research is unlikely to change confidence in the estimate of effect?

A High Signup and view all the answers

What does the World Falls Guidelines define as 'severe fall'?

A fall with injuries that are severe enough to require a consultation with a physician Signup and view all the answers

What is the definition of 'caregiver' according to the provided text?

A person who gives care to family or friends without payment Signup and view all the answers

What is the distinguishing feature of 'exercise' compared to physical activity?

All of the above Signup and view all the answers

According to the Modified GRADE system, which quality of evidence suggests that further research is very likely to have an important impact on the confidence in the estimate of effect and is likely to change the estimate?

C Low Signup and view all the answers

What does 'fall risk stratification' refer to as per the provided text?

A set of assessments performed across multiple domains to judge an individual’s overall level of risk of falling Signup and view all the answers

According to the World Falls Guidelines, what constitutes an 'unexplained fall'?

"When no apparent cause has been found for a fall on performing a multifactorial falls risk assessment" Signup and view all the answers

What is recommended for differentiating intermediate and high risk of falls in older adults?

Objective assessment of gait and balance Signup and view all the answers

Why is it mentioned that clinicians cannot rely solely on older adults reporting falls?

Because studies indicate that many older adults do not report falls when not directly asked Signup and view all the answers

What should be asked about when older adults present with a fall or related injury?

Details of the event and its consequences, previous falls, transient loss of consciousness or dizziness, and any pre-existing impairment of mobility or concerns about falling causing limitation of usual activities Signup and view all the answers

Which group of individuals should be regarded as at high risk of future falls?

Those who reported recurrent falls in the previous 12 months Signup and view all the answers

What is recommended as necessary for opportunistic case finding to detect future fall risks in older adults?

Case finding during a health visit or using e-health records Signup and view all the answers

What is a pragmatic compromise for the timing of asking about previous falls in older adults?

1-year timing for asking about previous falls Signup and view all the answers

What questions constitute the 'three key questions' (3KQ) for assessing fall risk?

(i) Have you fallen in the past year, (ii) Do you feel unsteady when standing or walking, (iii) Do you have worries about falling Signup and view all the answers

Which assessment is recommended following a positive answer to history of fall or any of the 3 key questions?

'Gait Speed' assessment Signup and view all the answers

What is the primary focus of the falls prevention and management approach and algorithm for community-dwelling older adults?

To target exercise and physiotherapist referral for older adults at intermediate risk for falls Signup and view all the answers

What is the importance of engaging older adults in falls prevention according to the text?

Understanding older adults' beliefs and attitudes is crucial for successful intervention Signup and view all the answers

What should be considered in care homes and hospital settings for all older adults?

Standard comprehensive assessment followed by multidomain interventions Signup and view all the answers

What does the text recommend for clinicians in terms of asking older adults about falls?

Routinely ask about falls, as they are often spontaneously reported by older adults Signup and view all the answers

What is the significance of categorizing older adults into low, intermediate, and high risk for falls?

To inform individualized tailored interventions based on their risk level Signup and view all the answers

What is recommended for older adults at intermediate risk for falls according to the text?

Offering targeted exercise or a physiotherapist referral to improve balance and muscle strength Signup and view all the answers

What is the primary focus of fall prevention needs according to the text?

Implementing multidomain interventions tailored to individual needs Signup and view all the answers

Why is it important for clinicians to ask older adults about dizziness, loss of consciousness, and disturbances of gait or balance?

"Asking about these issues can help identify additional concerns about falling causing limitation of usual activities" Signup and view all the answers