Risk of fall at home in elderly registered in day centers Risk of fall at home in elderly registered in day centers
DOI:
https://doi.org/10.29352/mill029e.25495Keywords:
elderly, fall, prevention, community health nursingAbstract
Introduction: Falls at home in the elderly represent a serious public health problem, causing significant morbidity and mortality. Objectives: To assess the risk of falls at home among elderly people enrolled in Day Centers; identify sociodemographic, clinical and housing variables related to the risk of falling at home.
Methods: Cross-sectional analytical study. Data collection was carried out using an anonymous form, consisting of sociodemographic, clinical and fall-related variables and the Home Fall Risk Assessment Scale.
Results: The sample consisted of 54 elderly people, mostly female (n=28; 51.9%), with a mean age of 80.81±7.9 years. About a fifth of the sample (n=12; 22.2%) reported that they had already had a fall, 83.3% (n=10) mentioned that it had occurred in the last 12 months. The greatest number of falls occurred in the bedroom and on the street. The main reasons for falls were dizziness/imbalance/stroke (n=6; 50.0%) and tripping (n=4; 33.3%). Only hearing alterations and age >80 years were associated with the risk of falling in the backyard (OR=2.86; 95%CI 1.08-7.57; OR=1.84; 95%CI 1.02-3.31, respectively). Age was also associated with the risk of falling into restrooms. The bedroom (n=24; 44.4%) and the backyard (n=11; 37.9%) are the areas of the house with the highest risk of falling.
Conclusion: The results showed that about a fifth of the population had already had a fall episode. Hearing changes and age >80 years are associated with the risk of falling in the backyard. It was concluded that the prevention of falls in the elderly should be a priority for health planning, aiming at empowering the elderly and caregivers for the harmful consequences that a fall can cause.
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References
Araújo, F. & Martins, T. (2016). Avaliação dos cuidadores: considerações e orientações para a prática. In T. Martins, et al. (Org.), A pessoa dependente & o familiar cuidador (pp. 113-130). Porto: Escola Superior de Enfermagem do Porto.
Bittencourt, V., Graube, S., Stumm, E., Battisti, I., Loro, M., & Winkelmann, E. (2017). Fatores associados ao risco de quedas em pacientes adultos hospitalizados. Revista Da Escola de Enfermagem Da USP; 51, 154-161. https://doi.org/http://dx.doi.org/10.1590/S1980-220X2016037403237
Castilho, I., Rocha, E., Magalhães, S., Vaz, Z., & Costa, A.L.G. (2020). Polifarmácia e Utilização de Medicação Potencialmente Inapropriada no Idoso com Idade Igual ou Superior a 75 Anos: O Caso de uma Unidade de Saúde Familiar. Acta Med Port; 33(9), 622-632. https://doi.org/10.20344/amp.13320
Conselho Internacional de Enfermagem (2017). Classificação Internacional para Prática de Enfermagem (CIPE) - 2017: Lisboa: Lusodidata, lda.
Coutinho, C. P. (2021). Metodologia de investigação em ciências sociais e humanas: Teoria e prática. 2ª Edição. Coimbra: Almedina.
Daly, R. M., Duckham, R. L., Tait, J. L., Rantalainen, T., Nowson, C. A., Taaffe, D. R., Sanders, K., Hill, K. D., Kidgell, D. J., & Busija, L. (2015). Effectiveness of dual-task functional power training for preventing falls in older people: study protocol for a cluster randomised controlled trial. Trials, 16, 120. https://doi.org/10.1186/s13063-015-0652-y
Despacho n.º 1400-A/2015, de 10 de fevereiro de 2015. Ministério da saúde. Diário da República, 2.ª série — N.º 28 — 10 de fevereiro de 2015.
Gonçalves, F.C.S. (2013). Risco de Queda dos Idosos no Domicílio. (Dissertação de Mestrado). Escola Superior de Saúde de Viseu. Acedido em https://repositorio.ipv.pt/bitstream/10400.19/1975/1/GON%C3%87ALVES%2C%20F%C3%A1tima%20Cl%C3%A1udia%20Sousa%20-%20disserta%C3%A7%C3%A3o%20mestrado.pdf
Jackson, S.H., Mangoni, A.A., & Batty, G.M. (2004). Optimizing of drug prescribing. Br J Clin Pharmacol; 57, 231-236.
Meleis, A. I. (2012). Theoretical Nursing Developement & Progress. (5th ed.). Philadelphia: Lippincott Williams&Wilkins.
Mendes, R., Martins, S., & Fernandes, L. (2020). Diabetes em Idosos de Unidades de Convalescença: Caracterização Sociodemográfica e Clínica. Rev Port Endocrinol Diabetes Metab.;15(1-2), 29-35. https://doi.org/10.26497/ao190038
Observatório Nacional da Diabetes (2016). Diabetes Factos e Números: O ano de 2015. Relatório Anual do Observatório Nacional da Diabetes. Lisboa: OND.
OMS (2008). Falls [Em linha]. Acedido em WWW:< URL:http://www.who.int/violence_injury_ prevention/other_injury/falls/en/>.
Organização Mundial de Saúde (2021). Falls. Acedido em https://www.who.int/news-room/fact-sheets/detail/falls
Smith, A.A., Silva, A.O., Rodrigues, R.A.P., Moreira, M.A.S.P., Nogueira, J.A., & Tura, L.F.R. (2017). Assessment of risk of falls in elderly living at home. Rev. Latino-Am. Enfermagem; 25:e2754. DOI: http://dx.doi.org/10.1590/1518-8345.0671.2754.
Torrão, C.M.C. (2016). Quedas em idosos numa unidade de longa duração e manutenção – prevalência, riscos e prevenção. (Dissertação de Mestrado). Escola Superior de Saúde do Instituto Politécnico de Bragança. Acedido em https://bibliotecadigital.ipb.pt/bitstream/10198/13074/1/Tese%20_%20Carla_v1_JA_Impress%C3%A3o_V_4%20final.pdf
Urzal, J., Pedro, A.B., Oliveira, I.F., Romero, I., Achega, M,. Correia, I. et al. 82019). Inappropriate prescribing to elderly patients in an internal medicine ward. Acta Med Port.; 32, 141-8.
Yuan-Yuan, G., Koen, B., Yicheng, N., Jan, A., & Jan, G. (2016). Review on prevention of falls in hospital settings. Chinese Nurs Res.; 3, 7-10. doi:10.1016/j.cnre.2015.11.002
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