ESEP - Artigos e Conference Proceedings
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Browsing ESEP - Artigos e Conference Proceedings by Subject "Accidental Falls"
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- An evaluation of a nurse-led rehabilitation programme (the ProBalance Programme) to improve balance and reduce fall risk of community-dwelling older people: A randomised controlled trialPublication . Gouveia, Bruna Raquel; Jardim, Helena Gonçalves; Martins, MM; Gouveia, Élvio Rúbio; de Freitas, Duarte Luís; Maia, José António; Rose, Debra J.This study aims to assess the effect of a nurse-led rehabilitation programme (the ProBalance Programme) on balance and fall risk of community-dwelling older people from Madeira Island, Portugal.
- Effectiveness of bedrails in preventing falls among hospitalized older adultsPublication . Marques, Paulo; Queirós, Carmen; Apóstolo, João; Cardoso, DanielaFalls are a major problem today affecting adults of any age, but the elderly are a population that is more susceptible to falls. Falls are the leading cause of injury or death among older adults. Hospitalized older people are particularly vulnerable to falls. Falls cause direct injuries (minor injuries, severe wounds of the soft tissues and bone fractures) to patients and increased length of stay. The prevention of falls is commonly considered an indicator of the quality of care. Therefore, health institutions and professionals treat the identification and implementation of strategies to prevent or minimize their effects as a high priority. Fall prevention interventions involving physical restraints are still common and considered a primary preventative measure, despite controversy in their use. One of the most frequently used restraint interventions is bedrails. The question of the effectiveness of bedrails in preventing falls cuts across all societies and cultures and has with significant implications for the clinical practice of nurses.
- Effectiveness of the use of bedrails in preventing falls among hospitalized older adults: a systematic review protocolPublication . Marques, Paulo; Queirós, Carmen; Apóstolo, João; Cardoso, Daniela
- Evaluation and cross-cultural adaptation of the Hendrich II Fall Risk Model to PortuguesePublication . Nilza Caldevilla, Maria; Costa, M. Arminda M.; Teles, Paulo; Ferreira, Pedro M.Background: Several tools for the assessment of the risk of falling are used commonly by clinical nurses, but none have been validated in Portuguese. Aims: To adapt and evaluate the Hendrich II Fall Risk Model (HIIFRM) for use with elderly Portuguese inpatients. Method: We conducted a prospective study of 586 older inpatients in acute care hospitals, from November 2007 to May 2010. Results: The study involved 270 men and 316 women. The most frequent risk factor on admission and at discharge was a score ‡3 on the ‘Get Up and Go’ test. The adapted HIIFRM showed a sensitivity of 93.2% and 75.7%, and a specificity of 35% and 46.7%, on admission and at discharge, respectively. A positive predictive value of 17.2% on admission and 17% at discharge and a negative predictive value of 97.3% and 93%, respectively, were estimated. Conclusions: The HIIFRM was shown to be a useful tool in predicting falls by patients. Nevertheless, the research model suggested that only four risk factors affected the occurrence of falls significantly on admission and two risk factors at discharge. Further research is required in Portuguese hospital settings.