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Caring for people with impaired mobility
Published in Nicola Neale, Joanne Sale, Developing Practical Nursing Skills, 2022
Rowena Slope, Katherine Hopkinson
Psychosocial factors: Fear of falling is a real anxiety and can result in physical symptoms such as nausea (While 2020a). Fear increases with age and is more common in women; a previous fall is not necessary to trigger this fear (Halvarsson et al. 2011).
Management of osteoporotic proximal humeral fractures
Published in Peter V. Giannoudis, Thomas A. Einhorn, Surgical and Medical Treatment of Osteoporosis, 2020
Not treating these patients optimally, meaning restoring their shoulder function properly, will lead to impairment of shoulder function and also of mobility. The elderly tend to use their hands and arms as “navigation tools,” taking support on furniture and/or objects in their immediate surroundings while moving around. Losing a functional arm, they also might lose their ability to move around because they are less confident. A “fear of falling” develops. In 21% of patients, the ability to move freely diminished. This again leads to loss of independence. Up to 17% of all patients with a proximal humeral fracture had to give up their households and ended up in a nursing home (5,6). As with hip fractures, proximal humeral fractures are also associated with a higher mortality risk (2,7). A proximal humeral fracture is also an increased risk for other fractures. Sustaining a proximal humeral fracture increases the risk of experiencing a fracture of the proximal femur with a relative risk of 2.45 times more within 5 years and 3.1 times more within 10 years (2,5).
Evidence-based practice in frailty
Published in Shibley Rahman, Living with frailty, 2018
Fear of falling is undeniably a major health problem among community-dwelling older adults that may contribute to avoidance of activities that they are capable of performing. Community-dwelling elderly people have described FOF as a negative experience, often linked to fear of incapacitation, loss of independence and the prospect of having to move to a care facility (Lee et al., 2008). Around 25 to 85 per cent of older adults report FoF; among these, 20 to 55 per cent curtail their physical activities as a result of their concerns (Murphy et al., 2003). Fear of falling is not exclusive to very old people who have a history of falls, as up to 50 per cent of persons reporting fear of falling do not have a fall history (Scheffer et al., 2008). The prevalence of fear of falling varies between 12 and 65 per cent for independent elderly individuals without a history of falls, and 29 and 92 per cent in those with a history of falls (Legters, 2002).
Psychometric Properties of the Turkish Version of the Fear of Falling Questionnaire-Revised (FFQ-R) in Nursing Home Residents with Mild Cognitive Decline
Published in Experimental Aging Research, 2023
Fatih Özden, Zeynep Yıldız Kızkın, Mehmet Özkeskin
The present study was aimed to examine the psychometric properties of the Turkish version of FFQ-R. Falls in older individuals over the age of 65 should not only be attributed to physical parameters such as balance, coordination, muscle strength and flexibility. Fear of falling is generally associated with physical variables, particularly in individuals in this age group, where psychological changes are common (Bower et al., 2015; Dautel et al., 2021; Dayhoff et al., 1994; Kumar et al., 2014; Ozcan, Donat, Gelecek, Ozdirenc, & Karadibak, 2005). Furthermore, cognitive decline also creates an additional catastrophizing for falls. The integration of somatosensory and motor reaction of individuals is also related to their cognitive status (J. R. Mahoney & Verghese, 2020). It has been observed that the frequency of falls is increased in conditions such as dementia and Alzheimer’s disease (Borges, Radanovic, & Forlenza, 2015).
Sensitivity of Apple Watch fall detection feature among wheelchair users
Published in Assistive Technology, 2022
Libak Abou, Alexander Fliflet, Lina Hawari, Peter Presti, Jacob J. Sosnoff, Harshal P. Mahajan, Mikaela L. Frechette, Laura A. Rice
According to the World Health Organization, more than 70 million people worldwide use a wheelchair to perform their activities of daily living (ADL) (WHO, 2017). Among those wheelchair users, 60% are affected by falls (Kirby et al., 1994). Of those who fall, almost 80% need assistance to recover, and they remain on the ground for an extended period of time (Rice et al., 2019, 2018). Remaining on the ground for an extended period of time after a fall is predictive of future injurious falls (Jørgensen et al., 2016) and associated with a decline in ADL performance, hospital and long-term care facility admissions (Sutton & McCormack, 2019), and increased fear of falling (Tischler & Hobson, 2005). Fear of falling is associated with a loss of confidence, decline in mental health, difficulty performing typical societal roles, loss of mobility independence, and physiological deconditioning (Peterson et al., 2007). Thus, a cycle of falling, delayed recovery, and fear of falling put wheelchair users at an increased risk of falls, injury, social isolation and reduced self-efficacy (Abou et al., 2021). As a result, falls are a major health concern among non-ambulatory individuals who use a wheelchair.
Fear of Falling Restricts Activities of Daily Living after Total Hip Arthroplasty: A One-Year Longitudinal Study
Published in Clinical Gerontologist, 2018
Koutatsu Nagai, Hisashi Ikutomo, Keiichi Tagomori, Namika Miura, Tadao Tsuboyama, Kensaku Masuhara
Fear of falling is a common and potentially disabling problem among community-living older persons. The psychological state can induce a debilitating downward spiral marked by loss of confidence and reduced activity and, consequently, loss of independence in healthy older adults(Vellas, Cayla, Bocquet, De Pemille, & Albarede, 1987). Fear of falling directly restricts certain ADLs in older adults (Lachman et al., 1998). Previous studies have reported high falling rates in patients after THA (Ikutomo, Nagai, Nakagawa, & Masuhara, 2015), and demonstrated that fear of falling is associated with poorer functional outcome after THA (Nagai, Ikutomo, Yamada, Tsuboyama, & Masuhara, 2014). As such, not a few patients after THA could have a fear of falling and be restricted by it in performing ADLs. Indeed, Trudelle-Jacson et al. cross-sectionally showed that 35% of patients who underwent THA after several months were restricted by their fear of falling from performing certain ADLs (Trudelle-Jackson & Smith, 2004), although the specific ADLs restricted were not described. However, the time course prevalence of fear of falling and ADL restriction due to fear in patients after THA remain unclear.