Fall risk assessment tools for use among older adults in long-term care settings: A systematic review of the literature

2017 ◽  
Vol 37 (1) ◽  
pp. 23-33 ◽  
Author(s):  
Susan Nunan ◽  
Christine Brown Wilson ◽  
Timothy Henwood ◽  
Deborah Parker
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Risk Assessment ◽  
Fall Risk ◽  
Long Term Care ◽  
Assessment Tools ◽  
Review Of The Literature ◽  
Term Care ◽  
Risk Assessment Tools

Comparison of two fall-risk assessment tools used in a long-term care facility

2020 ◽  
Vol 33 (3) ◽  
pp. 237-246
Author(s):  
Anat Glass ◽  
Gad Mendelson ◽  
Merav Ben Natan
Keyword(s):  
Risk Assessment ◽  
Older Adult ◽  
Fall Risk ◽  
Long Term Care ◽  
Care Facility ◽  
Assessment Tools ◽  
Term Care ◽  
Fall Risk Assessment ◽  
Content Type

PurposeThe purpose of this paper is to compare the ability of the Morse Fall Scale (MFS) and Farmer's fall-risk assessment tool (FFAT) to identify correlations between risk factors and falls among older adult long-term care (LTC) facility residents.Design/methodology/approachThis was a correlational retrospective study. 200 medical records of older adults hospitalized in a LTC facility in central Israel, from January 2017 to January 2018, were examined.FindingsOf all the residents, 75% and 99.5% of the residents were identified as having a high fall risk according to the MFS and FFAT, respectively. Only 12.5% of residents actually fell. MFS score was weakly correlated with actual falls (odds ratio = 1.035). It was also found that all fallers fell during their first week at the facility.Research limitations/implicationsFuture research should explore the ability of the tools to capture changes in the fall risk by repeat assessments, as this has not been examined in the present study.Practical implicationsThe MFS and FFAT tool may have little value in assessing fall risk in older adult LTC facility residents. Therefore, nurses should perform a clinical evaluation of each individual patient. In addition, nurses should place a particular emphasis on fall risk and prevention during the first week following admission.Originality/valueThe findings of the present study raise doubts regarding the utility of the common practice of assessing fall risk in older adult LTC facility residents using the tools MFS and the FFAT, thus emphasizing the need to adopt a different approach.

scholarly journals Validated Fall Risk Assessment Tools for Use with Older Adults: A Systematic Review

2018 ◽  
Vol 36 (4) ◽  
pp. 331-353 ◽  
Author(s):  
Marcello Ruggieri ◽  
Biagio Palmisano ◽  
Giancarlo Fratocchi ◽  
Valter Santilli ◽  
Roberta Mollica ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Risk Assessment ◽  
Fall Risk ◽  
Assessment Tools ◽  
Fall Risk Assessment ◽  
Risk Assessment Tools

Pain assessment tools for older adults with dementia in long-term care facilities: a systematic review

2016 ◽  
Vol 6 (6) ◽  
pp. 525-538 ◽  
Author(s):  
Selina Chow ◽  
Ronald Chow ◽  
Michael Lam ◽  
Leigha Rowbottom ◽  
Drew Hollenberg ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Pain Assessment ◽  
Long Term Care ◽  
Assessment Tools ◽  
Term Care ◽  
Care Facilities

Non-pharmacological interventions to improve constipation amongst older adults in long-term care settings: A systematic review of randomised controlled trials

2020 ◽  
Vol 41 (6) ◽  
pp. 992-999
Author(s):  
Iria Dobarrio-Sanz ◽  
José Manuel Hernández-Padilla ◽  
María Mar López-Rodríguez ◽  
Cayetano Fernández-Sola ◽  
José Granero-Molina ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Randomised Controlled Trials ◽  
Long Term Care ◽  
Controlled Trials ◽  
Pharmacological Interventions ◽  
Term Care ◽  
Randomised Controlled

Interventions Using Technologies for Older Adults in Long-term Care Facilities: A Systematic Review

2018 ◽  
Vol 29 (2) ◽  
pp. 170 ◽  
Author(s):  
Da Eun Kim ◽  
Hyang Kim ◽  
Junghee Hyun ◽  
Hyojin Lee ◽  
Hyehyun Sung ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities

The impact of fall risk assessment on nurse fears, patient falls, and functional ability in long-term care

2015 ◽  
Vol 38 (11) ◽  
pp. 1041-1052 ◽  
Author(s):  
Theresa Dever Fitzgerald ◽  
Thomas Hadjistavropoulos ◽  
Jaime Williams ◽  
Lisa Lix ◽  
Sharmeen Zahir ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Functional Ability ◽  
Fall Risk ◽  
Long Term Care ◽  
Term Care ◽  
Fall Risk Assessment ◽  
Patient Falls ◽  
The Impact

scholarly journals Vitamin D Supplementation for the Prevention and/or Treatment of Cardiovascular Disease, Cancer, and Other Conditions in Residents of Long-Term Care Facilities

2021 ◽  
Vol 1 (7) ◽  
Author(s):  
Keeley Farrell ◽  
Jennifer Horton
Keyword(s):  
Systematic Review ◽  
Cardiovascular Disease ◽  
Older Adults ◽  
Vitamin D ◽  
Long Term Care ◽  
Respiratory Infections ◽  
Vitamin D Supplementation ◽  
Term Care ◽  
Care Facilities

The results of 1 systematic review suggest that supplementation with vitamin D may provide some benefit for cancer-related mortality in older adults. It is unclear whether there is a benefit of vitamin D supplementation for all-cause mortality; however, no benefit was found for cardiovascular disease mortality, cardiovascular disease events, or cancer incidence. There is limited and mixed evidence on the effectiveness of vitamin D supplementation for dementia and mild cognitive impairment in older adults. The results of 1 systematic review suggest that vitamin D supplementation may provide protection against acute respiratory infections in the overall population; however, this result was not significant in the subgroup of patients older than 65 years. No evidence-based guidelines were identified regarding vitamin D supplementation for the prevention and/or treatment of cardiovascular disease, cancer, and other conditions in elderly patients residing in long-term care facilities.

scholarly journals A systematic review of the effectiveness of advanced practice nurses in long-term care

2021 ◽  
Author(s):  
Alba DiCenso
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Prospective Studies ◽  
Long Term Care ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Term Care ◽  
Practice Nurses

To report quantitative evidence of the effectiveness of advanced practice nursing roles, clinical nurse specialists and nurse practitioners, in meeting the healthcare needs of older adults living in long-term care residential settings. Although studies have examined the effectiveness of advanced practice nurses in this setting, a systematic review of this evidence has not been conducted. Quantitative systematic review. Twelve electronic databases were searched (1966-2010); leaders in the field were contacted; and personal files, reference lists, pertinent journals, and websites were searched for prospective studies with a comparison group. Studies that met inclusion criteria were reviewed for quality, using a modified version of the Cochrane Effective Practice and Organisation of Care Review Group risk of bias assessment criteria. Four prospective studies conducted in the USA and reported in 15 papers were included. Long-term care settings with advanced practice nurses had lower rates of depression, urinary incontinence, pressure ulcers, restraint use, and aggressive behaviours; more residents who experienced improvements in meeting personal goals; and family members who expressed more satisfaction with medical services. Advanced practice nurses are associated with improvements in several measures of health status and behaviours of older adults in long-term care settings and in family satisfaction. Further exploration is needed to determine the effect of advanced practice nurses on health services use; resident satisfaction with care and quality of life; and the skills, quality of care, and job satisfaction of healthcare staff.

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