Outcomes from the implementation of a facility-specific evidence-based falls prevention intervention program in residential aged care |
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Authors: | Nitz Jennifer Cyarto Elizabeth Andrews Sharon Fearn Marcia Fu Stephanie Haines Terrence Haralambous Betty Hill Keith Hunt Susan Lea Emma Moore Kirsten Renehan Emma Robinson Andrew |
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Institution: | Division of Physiotherapy, School of Health and Rehabilitation Sciences, University of Queensland, St. Lucia, Queensland, Australia. |
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Abstract: | For residents in long-term care facilities, falling is a major concern requiring preventive intervention. A prospective cohort study measured the impact of falls reduction following the implementation of evidence-based fall prevention interventions in 9 Australian residential care facilities. An external project team provided a comprehensive audit of current practice. Facilitated by an action research approach, interventions were individualized to be facility- and patient-specific and included the following: environmental modifications such as low beds and height-adjustable chairs, movement alarms, hazard removal, and hip protectors. Participants included 670 residents and 650 staff from 9 facilities across 3 states. A significant reduction of falls were observed per site in the proportion of fallers (P = .044) and single fallers (P = .04). However, overall the number of falls was confounded by multiple falls in residents. Reduction in fallers was sustained in the 6-month follow-up phase. Positive outcomes from interventions varied between facilities. Further research is necessary to target frequent fallers. |
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