Practices of caregivers when evaluating the risk of falls in the admission of older adults to nursing homes

ABSTRACT. Falls are a complex problem for the older population residing in nursing homes. Despite recommendations, many difficulties remain in the evaluation of and systematic information on fall risk factors. Objectives: To build and validate the Scale for Practices of Identification of and Inform...

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Main Authors: Cristina Lavareda Baixinho, Maria dos Anjos Dixe
Format: Article
Language:English
Published: Associação Neurologia Cognitiva e do Comportamento 2020-12-01
Series:Dementia & Neuropsychologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642020000400379&tlng=en
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author Cristina Lavareda Baixinho
Maria dos Anjos Dixe
author_facet Cristina Lavareda Baixinho
Maria dos Anjos Dixe
author_sort Cristina Lavareda Baixinho
collection DOAJ
description ABSTRACT. Falls are a complex problem for the older population residing in nursing homes. Despite recommendations, many difficulties remain in the evaluation of and systematic information on fall risk factors. Objectives: To build and validate the Scale for Practices of Identification of and Information on Fall Risk Factors in the Admission of Older Adults; to describe the practices of professionals in identifying and providing information on fall risk factors in the admission of older adults; and to associate these practices with the training, experience, and age of the caretakers. Methods: This is a methodological study. Based on a literature review, we analyzed the contexts, consulted specialists, selected indicators, and designed the scale, which was evaluated by experts. The process included a pre-test, reformulation, application, and validation. Results: The response rate was 65.52%. The validated scale has 13 items and 2 dimensions: risk factor evaluation practices and information practices; it presents good psychometric properties (α=0.913) to evaluate the risk of falls in the admission of older adults. Conclusions: Caregivers who received training during professional activities had better practices as to the provision of information to older adults about the risk of falls. The risk associated with gait and balance changes is more significant compared to the cognitive state.
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spelling doaj.art-73f5c893ebfa47e4a9e75b07646106982022-12-22T04:12:25ZengAssociação Neurologia Cognitiva e do ComportamentoDementia & Neuropsychologia1980-57642020-12-0114437938610.1590/1980-57642020dn14-040008Practices of caregivers when evaluating the risk of falls in the admission of older adults to nursing homesCristina Lavareda Baixinhohttps://orcid.org/0000-0001-7417-1732Maria dos Anjos Dixehttps://orcid.org/0000-0001-9035-8548ABSTRACT. Falls are a complex problem for the older population residing in nursing homes. Despite recommendations, many difficulties remain in the evaluation of and systematic information on fall risk factors. Objectives: To build and validate the Scale for Practices of Identification of and Information on Fall Risk Factors in the Admission of Older Adults; to describe the practices of professionals in identifying and providing information on fall risk factors in the admission of older adults; and to associate these practices with the training, experience, and age of the caretakers. Methods: This is a methodological study. Based on a literature review, we analyzed the contexts, consulted specialists, selected indicators, and designed the scale, which was evaluated by experts. The process included a pre-test, reformulation, application, and validation. Results: The response rate was 65.52%. The validated scale has 13 items and 2 dimensions: risk factor evaluation practices and information practices; it presents good psychometric properties (α=0.913) to evaluate the risk of falls in the admission of older adults. Conclusions: Caregivers who received training during professional activities had better practices as to the provision of information to older adults about the risk of falls. The risk associated with gait and balance changes is more significant compared to the cognitive state.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642020000400379&tlng=ennursingaccidental fallsagedhomes for the agedcognitive dysfunction
spellingShingle Cristina Lavareda Baixinho
Maria dos Anjos Dixe
Practices of caregivers when evaluating the risk of falls in the admission of older adults to nursing homes
Dementia & Neuropsychologia
nursing
accidental falls
aged
homes for the aged
cognitive dysfunction
title Practices of caregivers when evaluating the risk of falls in the admission of older adults to nursing homes
title_full Practices of caregivers when evaluating the risk of falls in the admission of older adults to nursing homes
title_fullStr Practices of caregivers when evaluating the risk of falls in the admission of older adults to nursing homes
title_full_unstemmed Practices of caregivers when evaluating the risk of falls in the admission of older adults to nursing homes
title_short Practices of caregivers when evaluating the risk of falls in the admission of older adults to nursing homes
title_sort practices of caregivers when evaluating the risk of falls in the admission of older adults to nursing homes
topic nursing
accidental falls
aged
homes for the aged
cognitive dysfunction
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642020000400379&tlng=en
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