Translating fall incidence data into fall-preventive measures in geriatric wards--a survey in Belgian hospitals.

Abstract:

BACKGROUND:Fall incidents and their negative outcomes represent a considerable problem in hospitals, especially in geriatric wards, and require implementation of strategies to prevent these undesirable events. For this reason, the College of Geriatrics, a body funded by the Belgian Government to set up quality improvement initiatives in geriatric wards, selected 'Fall prevention in Belgian hospitals' as a quality project for the year 2006. OBJECTIVES:Before developing and implementing a practice guideline specifically adapted to the clinical context in Belgian geriatric wards, this study was set up to gain insight into fall prevention measures currently implemented in geriatric wards of Belgian hospitals. METHODS:In this study, we used a cross-sectional survey design. The study involved 113 hospitals with a geriatric department. Participants were geriatricians, head nurses, medical directors, care coordinators and occupational therapists. Measurements were carried out using a survey questionnaire (response rate: 56.6%). RESULTS:Less than one third (32.8%) of Belgian geriatric wards had a formal fall prevention policy. However, more than 90.0% systematically registered falls, but less than a quarter used these data to improve preventive measures. Although the majority used screening (78.1%), comprehensive assessment (92.2%), and preventive strategies (98.4%) when patients are admitted, only about 10% used a standard plan to direct these efforts. Furthermore, 93.8% acknowledged using physical restraints as a fall prevention strategy. CONCLUSION:Given the high rates and complexity of falls in geriatric wards, hospitals need to further implement evidence-based assessment and standard intervention care plans to maintain uniformity and quality of care.

journal_name

Gerontology

journal_title

Gerontology

authors

Coussement J,Dejaeger E,Lambert M,Van Den Noortgate N,De Paepe L,Boonen S,Schoevaerdts D,Milisen K

doi

10.1159/000224936

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

398-404

issue

4

eissn

0304-324X

issn

1423-0003

pii

000224936

journal_volume

55

pub_type

杂志文章
  • Age-related changes in glutamine synthetase activity of rat brain, liver and heart.

    abstract::Glutamine synthetase (GS) activity was measured in whole brain, different brain areas, liver and heart of 23- to 26-month-old rats, and then compared to matched animals of 3 months. A significant increase of GS activity was found in whole brain (25%) of old rats, as well as in all brain areas studied, but particularly...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212686

    authors: Cao Danh H,Strolin Benedetti M,Dostert P

    更新日期:1985-01-01 00:00:00

  • Memory awareness in nursing home residents.

    abstract:BACKGROUND:Health care providers often believe that individuals with cognitive disturbance are unaware of their deficits. The term unawareness was first used to describe hemiplegia following right hemisphere stroke but has since been applied to unawareness of any neurological or neuropsychological deficit. Clinicians u...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000022027

    authors: McDougall GJ

    更新日期:1998-01-01 00:00:00

  • Neurohumoral control of liver functions during aging.

    abstract::A profound influence of steroidal (and possibly growth) hormone change during aging on the P-450 functions has been found in male rats. Direct and rapid autonomic nervous controls on glycogen metabolism in the liver is also greatly affected by aging. However, neither the responses of isolated rat hepatocyte preparatio...

    journal_title:Gerontology

    pub_type: 杂志文章,评审

    doi:10.1159/000212931

    authors: Kitani K

    更新日期:1988-01-01 00:00:00

  • Study of some early immunological parameters in aging humans.

    abstract::We studied the correlation between the in vitro lymphocyte proliferative response and some early parameters of lymphocyte activation in aged people. While a consistent number of elderly subjects showed significantly decreased proliferative responses to mitogen stimulation, interleukin-1 (IL-1) production and IL-2 rece...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212966

    authors: Amadori A,Zanovello P,Cozzi E,Ciminale V,Borghesan F,Fagiolo U,Crepaldi G

    更新日期:1988-01-01 00:00:00

  • Influence of age on the relationship between alcohol consumption and metabolic syndrome.

    abstract:BACKGROUND:Relationships between alcohol consumption and risks for metabolic syndrome in general populations are very controversial. It is unknown whether age influences the relationship between alcohol intake and the prevalence of metabolic syndrome. OBJECTIVE:The purpose of this study was to determine whether age in...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000323080

    authors: Wakabayashi I

    更新日期:2012-01-01 00:00:00

  • Treatment of Paget's disease of bone.

    abstract::A brief review is given of the use of fluoride, mithramycin, glucagon, actinomycin D, calcitonins and diphosphonates for treatment of Paget's disease of bone. The decision regarding treatment, effectiveness of the drugs, the incidence of side effects and assessment of clinical, biochemical, histological, radiological ...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212334

    authors: Chakravorty NK

    更新日期:1979-01-01 00:00:00

  • Influence of dietary copper on the survival of Drosophila.

    abstract::The life span of Drosophila melanogaster was reduced when copper compounds were fed at concentrations of 1 X 10(-3) M or greater. Feeding lower concentrations of copper compounds failed to significantly change life span. A combination of copper gluconate and gluconic acid increased the adult life span by 21.6%. We con...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212611

    authors: Massie HR,Williams TR,Aiello VR

    更新日期:1984-01-01 00:00:00

  • Total knee arthroplasty in the elderly: patients' self-appraisal 6 and 12 months postoperatively.

    abstract::The objective of this work was to study patients' self-appraisal of total knee arthroplasty (TKA) 6 and 12 months postoperatively, and to establish which factors determine dissatisfaction from surgery. The study group consisted of 79 patients subjected to TKA who underwent rehabilitation in a specialized institution f...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000022011

    authors: Dickstein R,Heffes Y,Shabtai EI,Markowitz E

    更新日期:1998-01-01 00:00:00

  • Postural influences on urinary incontinence in the elderly.

    abstract::To evaluate the requirement for provocative cystometry in urodynamic investigation in the elderly with urinary incontinence, 100 consecutive patients, who were referred on the basis of defined clinical criteria, were first studied by supine cystometry followed by provocative tests where necessary. The most satisfactor...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212791

    authors: Eastwood HD

    更新日期:1986-01-01 00:00:00

  • Physiological, metabolic and running characteristics of senescent female hamsters.

    abstract::Metabolic, endocrine and biochemical variables of female hamsters were studied to define age-related alterations in their characteristics. Endurance performance, aerobic capacity and metabolic fuels and hormones were measured and compared in young-adult (2-3 months) and old (16-17 months) hamsters to determine if the ...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212902

    authors: Nichols JF,Borer KT

    更新日期:1987-01-01 00:00:00

  • Use of in-patient hospital beds by people living in residential care.

    abstract:BACKGROUND:There is concern that people living in residential care in Australia make significant and often inappropriate use of acute in-patient hospital services. To date, no factual information has been collected in Australia and its absence may allow myths and negative stereotypes to proliferate. OBJECTIVE:To deter...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000022148

    authors: Finucane P,Wundke R,Whitehead C,Williamson L,Baggoley C

    更新日期:2000-05-01 00:00:00

  • Association between Type of Residence and Clinical Signs of Neglect in Older Adults.

    abstract:BACKGROUND:Studies have demonstrated that measures of lower quality of care and associated adverse health effects are more prevalent in for-profit nursing homes compared to not-for-profit facilities. However, these studies omit persons who receive care in the community setting, and exclusively focus on isolated clinica...

    journal_title:Gerontology

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000492029

    authors: Friedman L,Avila S,Friedman D,Meltzer W

    更新日期:2019-01-01 00:00:00

  • Characteristics of colorectal cancer in elderly patients.

    abstract::The aim of the study was to examine the characteristics of colorectal cancer in elderly patients. The medical histories of 178 consecutive patients (79 men and 99 women) with colorectal cancer were studied from hospital records. The studied parameters were compared between three age groups: under 65 years old, 65-80 y...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000213537

    authors: Kemppainen M,Räihä I,Rajala T,Sourander L

    更新日期:1993-01-01 00:00:00

  • Thymus and aging: potential of gene therapy for restoration of endocrine thymic function in thymus-deficient animal models.

    abstract:OBJECTIVE AND BACKGROUND:The aim of the present article is to discuss the potential of gene therapy for thymic hormones as a novel therapeutic strategy to treat dyshomeostatic states associated with athymia, as Di George syndrome, or hypothymic conditions like those associated with AIDS, chronic stress or aging. First ...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000065258

    authors: Goya RG,Cónsole G,Hereñú C,Brown O,Rimoldi OJ

    更新日期:2002-09-01 00:00:00

  • Age, Loss Minimization, and the Role of Probability for Decision-Making.

    abstract:BACKGROUND:Older adults are stereotypically considered to be risk averse compared to younger age groups, although meta-analyses on age and the influence of gain/loss framing on risky choices have not found empirical evidence for age differences in risk-taking. OBJECTIVE:The current study extends the investigation of a...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000487636

    authors: Best R,Freund AM

    更新日期:2018-01-01 00:00:00

  • Is Life Expectancy of French Women Going to Plateau and Oscillate?

    abstract::Some authors have hypothesised that life expectancy at birth could reach 100 years in developed countries in the next decades. Using recent data for French women, it is shown that life expectancy changes from 1993 to 2016 are mainly linked to mortality rates of oldest women. In recent years, it happened that life expe...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000497179

    authors: Le Bourg E

    更新日期:2019-01-01 00:00:00

  • Multifactorial memory training with older adults: how to foster maintenance of improved performance.

    abstract::The purpose of this study was to examine the effects of a multifactorial memory training program designed for normal older adults. The multifactorial program involved the training of three components that are critical to memory functioning: recoding operations, attentional functions and relaxation. Two controls groups...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000213035

    authors: Stigsdotter A,Bäckman L

    更新日期:1989-01-01 00:00:00

  • No neuron loss from hypothalamic nuclei of old male rats.

    abstract::Neuron density, volume of the area and total neuron number were measured in the medial preoptic area, supraoptic nucleus, paraventricular nucleus, anterior hypothalamic area, ventromedial nucleus, dorsomedial nucleus and arcuate nucleus of the hypothalamus in young adult male rats (3.5-5 months old) and in old male ra...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212507

    authors: Peng MT,Hsü HK

    更新日期:1982-01-01 00:00:00

  • Precision Medicine and Vaccination of Older Adults: From Reactive to Proactive (A Mini-Review).

    abstract::As populations age globally, the health of older adults is looming larger on the agendas of public health bodies. In particular, the priority is to ensure that older adults remain healthy, independent, and engaged in their communities. In other words, ensuring that increasing life spans are matched by increasing "heal...

    journal_title:Gerontology

    pub_type: 杂志文章,评审

    doi:10.1159/000503141

    authors: Doherty TM,Di Pasquale A,Michel JP,Del Giudice G

    更新日期:2020-01-01 00:00:00

  • Older Adults' Use of Retrieval Strategies in Everyday Life.

    abstract:BACKGROUND:Despite declines in cognitive abilities, older adults often perform comparable to younger adults in everyday tasks [J Am Geriatr Soc 1999;47:172-183]. Older adults may compensate for cognitive declines by using more efficient strategies. People often improve their efficiency by switching from an algorithmic ...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000446277

    authors: Frank DJ,Jordano ML,Browne K,Touron DR

    更新日期:2016-01-01 00:00:00

  • Effects of Movement-Based Mind-Body Interventions on Physical Fitness in Healthy Older Adults: A Meta-Analytical Review.

    abstract:INTRODUCTION:Declines in physical fitness can notably affect healthy aging of older adults. Multimodal exercise training regimen such as mind-body interventions (MBIs) has been reported to mitigate these aging-related declines of physical function. This meta-analytical review aimed at pooling the effects of MBIs on phy...

    journal_title:Gerontology

    pub_type: meta分析

    doi:10.1159/000512675

    authors: Ebner SA,Meikis L,Morat M,Held S,Morat T,Donath L

    更新日期:2021-01-27 00:00:00

  • Age-related alterations in the carbohydrate residue composition of the cell surface in the unexposed normal human epidermis.

    abstract:BACKGROUND:The results of the very few histochemical studies that have been performed so far on the lectin-binding profile of normal human epidermis are mostly controversial; thus, the carbohydrate residue composition of the cell surface in the latter still remains in dispute and the possible alterations in the epiderm...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000083986

    authors: Georgiou S,Pasmatzi E,Monastirli A,Sakkis T,Alachioti S,Tsambaos D

    更新日期:2005-05-01 00:00:00

  • Biochemical and behavioural effects of hypoxic hypoxia in rats: study of the protection afforded by ergot alkaloids.

    abstract::The conditioned avoidance response and the cerebral levels of dopamine and noradrenaline have been studied in control rats and in rats submitted to a hypobaric hypoxia. A protection against the effects of hypoxia was induced by both dihydroergocornine (20 microgram/kg) and dihydroergocryptine (100 microgram/kg), and t...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212292

    authors: Boismare F,Le Poncin M,Lefrançois J

    更新日期:1978-01-01 00:00:00

  • The inverse association between age and cholesterol level among older patients: the role of poor health status.

    abstract:BACKGROUND:The total cholesterol concentration decreases with age in older people. The reasons for this phenomenon are controversial. This study investigated the hypothesis that poor health status is a determinant of the inverse association between age and cholesterol in older persons. METHODS:Cross-sectional study of...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000052768

    authors: Volpato S,Zuliani G,Guralnik JM,Palmieri E,Fellin R

    更新日期:2001-01-01 00:00:00

  • Improving the Cooperation Rate of Older Adults and Their Caregivers in Research Surveys.

    abstract:BACKGROUND:Recruiting older adults, their family members and their home care workers as participants in research studies is particularly complicated. This might be due to medical or cognitive problems of the older adult as well as the high workload and shortage of time experienced by caregivers. The present study compa...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000366161

    authors: Green O,Ayalon L

    更新日期:2015-01-01 00:00:00

  • Is renal biopsy justified for the diagnosis and management of the nephrotic syndrome in the elderly?

    abstract::During the past decade, controversy has raged about the necessity of renal biopsy for the management of the idiopathic nephrotic syndrome. The debate has centered on whether a precise diagnosis is imperative for steroid treatment or whether such therapy can be given blindly. The above question has not been addressed i...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000213514

    authors: Moran D,Korzets Z,Bernheim J,Bernheim J,Yaretzky A

    更新日期:1993-01-01 00:00:00

  • Association between serum vitamin D status and functional mobility in memory clinic patients aged 65 years and older.

    abstract:BACKGROUND:Recent studies have shown that vitamin D status may be relevant for physical and cognitive performance in the older population. This association may be of particular interest to older people at risk for cognitive impairment and functional decline. OBJECTIVE:The aim of this study was to determine the associa...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000355667

    authors: Gschwind YJ,Bischoff-Ferrari HA,Bridenbaugh SA,Härdi I,Kressig RW

    更新日期:2014-01-01 00:00:00

  • Proinflammation of aging central arteries: a mini-review.

    abstract::Arterial aging is a cornerstone of organismal aging. The central arterial wall structurally and functionally remodels under chronic proinflammatory stress over a lifetime. The low-grade proinflammation that accompanies advancing age causes arterial wall thickening and stiffening. These structural and functional altera...

    journal_title:Gerontology

    pub_type: 杂志文章,评审

    doi:10.1159/000362548

    authors: Wang M,Monticone RE,Lakatta EG

    更新日期:2014-01-01 00:00:00

  • Decreased plasma taurine in aged rats.

    abstract::Taurine (TAU) is thought to be a neuromodulator or an inhibitory neurotransmitter in the mammalian brain. In the periphery, TAU is involved in a wide spectrum of physiological functions. One of the most important putative physiological function of TAU is the modulation of cardiovascular activity including blood pressu...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000213171

    authors: Wallace DR,Dawson R Jr

    更新日期:1990-01-01 00:00:00

  • Regulatory T cells and the immune aging process: a mini-review.

    abstract::Constant exposure to new and persisting antigens and the need to replace cellular attrition with newly built cells lead to profound remodeling of the immune system after the age of 50 years. The impact of the immunosenescence process varies amongst the different cellular subsets represented within the immune system. E...

    journal_title:Gerontology

    pub_type: 杂志文章,评审

    doi:10.1159/000355303

    authors: Jagger A,Shimojima Y,Goronzy JJ,Weyand CM

    更新日期:2014-01-01 00:00:00