Preventing falls and related injuries among seniors in assisted living residences. (1st March 2011)

• Record Type: Journal Article
• Authors: Scott, V; Bawa, H; Feldman, F; Gould, J S; Leung, M; Rajabali, F
• Is Part Of: Injury prevention. Volume 16(2010)Supplement 1
• Page Start: A62
• Page End: A62
• Publication Date: 2011-03-01
• Subjects: Children's accidents -- Prevention -- Periodicals; Accidents -- Prevention -- Periodicals; 617.1
• DOI: 10.1136/ip.2010.029215.226
• Languages: English
• ISSNs: 1353-8047

Abstract

Abstract : Introduction: The purpose of this study was to addresses a gap in the fall prevention literature with a focus on Assisted Living Residences (ALRs) – a new community housing option for a rapidly growing number of older persons that are at high risk falls. The result of the 1-year collaborative study was the development of Best Practice Guidelines for integration into routine care. Methods: A 6-month prospective, action research intervention was conducted at two ALR sites, with 161 residents. Measures included focus groups, pre/post staff and resident surveys, pre/post measures of balance and gait, and 6-month fall/injury surveillance. Interventions included staff and resident training on fall tracking, fall prevention education for staff and residents, and physical activity interventions. Results: Over 6 months, 155 falls were recorded, with 38% (N=73) of residents identified as having at least one fall and 43% (N=72) of falls resulting in injury. There was a statistically significant reduction in the rate of falls per 1000 resident days between the first and second three-month periods (X 2 =11.98; p=0.001). Fall risk reduction was demonstrated by a significant difference (t=3.16, p=.002) in pre/post Timed-Up-and-Go scores. Focus group findings included the need to tailor prevention to joiners and non-joiners of group intervention activities. Conclusion: The study demonstrated that fall prevention guidelines can be implemented within routine service delivery in ALRs with a positive effect on fall risk reduction.