Citation

Kiyoshi-Teo H, Northrup-Snyder K, Cohen DJ, Dieckmann N, Stoyles S, Winters-Stone K, Eckstrom E. Geriatr. Nurs. 2019; 40(3): 290-295.

Affiliation

School of Medicine, Oregon Health & Science University, Portland, OR, United States; Division of General Internal Medicine & Geriatrics, Oregon Health & Science University, Portland, OR, United States.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.gerinurse.2018.11.005

PMID

30595233

Abstract

PURPOSE: To identify associations among patient fall risk factors, perceptions, and daily activities to improve patient engagement with fall prevention among hospitalized older adults.

BACKGROUND: The risk of falling increases for older patients but few researchers have reported patient-centered measures on this topic.

METHODS: Surveys and chart reviews of inpatients aged ≥ 65 with Morse Falls Scale scores of ≥ 45. Measurements included validated tools and the modified Fall Behavioral Scale-Inpatient (FaB-I).

RESULTS: A fall within 3 months before hospitalization was associated with an increased level of importance to preventing falls and higher FaB-I score (more fall prevention behaviors) but decreased level of confidence related to preventing falls (p < 0.05). Perception measures (concern: r = 0.52; patient activation: r = 0.46) were positively associated with FaB-I (p < 0.001).

CONCLUSIONS: Addressing patient-centered measures such as perceptions of and daily activities for fall prevention could add value to existing fall prevention programs.

Copyright © 2018. Published by Elsevier Inc.

Language: en

Keywords

Fall prevention; Hospitalized older adult; Patient engagement