Falls Consultant Geriatrician Clinic Referrals Review: Improving Access to Multi-professional Falls Services.
Introduction: In 2022, new Consultant Therapist roles were recruited to the Care of the Elderly Team at Wrexham Maelor Hospital, when n=189 people were waiting to see a Consultant Geriatrician for falls. The longest wait was n=658 days. A waiting list review commenced in partnership with Community Falls Prevention, Physiotherapy, Pharmacy and Occupational Therapy, Welsh Ambulance services. People with long waits for Falls Clinic were assessed by a Consultant Therapist at home, which saw a reduction in the overall waiting list and highlighted the risk that people were not being referred to the
The Architecture of Confidence: Mapping the Relationship Between Cognition, Age, and Falls Efficacy
The Discrepancy Between Perceived Fall Efficacy and Actual Physical Performance Using TUG and Chair Rise Tests
Mitigating Fall Risk: Survey Findings and Suggestions from an ISAT-Driven Integrated Care Strategic Approach
Acceptability of High Intensity Functional Training in people with Parkinson's: a randomised feasibility trial protocol
Background & Rationale Parkinson’s disease prevalence is rising globally, driven by an ageing population. High intensity exercise may slow symptom progression and improve physical function, bone health, and quality of life. One way of delivering this is through High intensity functional training (HIFT) via community providers such as CrossFit and PD Warrior relieving pressure on NHS resources. Objectives To assess the acceptability, safety and feasibility of delivering HIFT to people with Parkinson’s through external providers, providing foundational information for future definitive trial
Antihypertensive Prescribing in Older Adults: Are We Prescribing Correctly?
Introduction Hypertension is highly prevalent among older adults and is a major contributor to cardiovascular morbidity, mortality, and cognitive decline. While the HYVET trial demonstrated benefits of antihypertensive treatment in older populations, the SPRINT trial highlighted increased adverse events with intensive blood pressure control. This highlights the importance of ensuring antihypertensive prescribing in older people is appropriate and evidence-based, particularly in those presenting with falls. Method A retrospective observational review was conducted of 60 adults aged over 75
Nurse Scientists’ Success: Implementation of Bed-side Fall Injury Attenuation Solutions
Patient Centred Clinical Approach and Number of Falls: A Potential Model for Falls Clinics
Introduction A comprehensive geriatric assessment is recommended by the British Geriatrics Society with a comprehensive medical assessment, (CMA) being implied for the falling patients. But the data on its application and impact on falls is scanty. Methods We implemented a patient centred CMA to the patients referred to falls clinics, prospectively, to facilitate complex, multimorbid, multi-systemic medical diagnoses. The number of falls in the six months prior and six month after the interventions were compared and statistically analysed. The same interventions were carried out on the second
Improving Acute Kidney Injury Management in geriatric-relevant inpatient cohort: A Two-Cycle Quality Improvement Project
Evidence and Implementation: Innovative Fall Injury Technologies and Adaptive Fashion Clothing to Reduce Fall-related Trauma
Health care professional perspectives on vision screening in older adults who attend hospital following a fall: a focus group study
Background: The assessment and management of impaired vision is included in falls prevention guidance, however implementation is inconsistent. We conducted focus groups to explore the perspectives of Health Care Professionals (HCP) on vision screening in older adults attending acute hospitals following a fall. Methods: A focus group study was undertaken with HCPs from a single acute hospital trust. Semi-structured topic guides were informed by the Consolidated Framework for Implementation Research (CFIR). Transcripts were first inductively then deductively coded using CFIR constructs
From Assessment to Engagement: Inertial Gait Analysis and Remote Exercise for Fall-Risk Prevention
Commitment to Residents’ Safe Steps Forward: Individualized Shoes
A Rapid Community Response to Long Lies in Frail Patients: Reducing Hospital Admissions. A Prospective Service Evaluation.
Research impacts into reality underpinning Falls Prevention and Bone Health Strategy supporting hospital to community focus
Introduction Locally we have the highest percentage of people aged over 65 and highest admissions due to falls in Greater Manchester. The impacts for practice recommendations from the Ethnographic study of experiences of falls in domestic settings and the use of ambulance services, found the need to raise public awareness and understanding of falls risk and provide ambulance crew with falls prevention training. Methods In 2018-2022, the strategy was developed by a partnership collaboration. It was launched in 2022, drawing on the evidence-base, specialist knowledge and learning within the
IMPACTS OF AN ETHNOGRAPHIC STUDY OF EXPERIENCES OF FALLS IN DOMESTIC SETTINGS AND THE USE OF AMBULANCE SERVICES
Objectives: The study aimed to gain an in-depth understanding of the patients’ journey following a fall, from patients and ambulance crew perspectives. Methods: A critical ethnographic approach enabled participants’ values, behaviours and beliefs to be explored. The methods were participatory observation, semi-structured interviews, and in-depth field notes. The findings were thematically analysed, and narrative used to add meaning to their experience. Results: The study gained an in-depth understanding of the experiences of crew and patients. For both ambulance crew and patients, there were
Clinical audit of inpatient injurious falls
Background: The local trust inpatient falls rate is 5.27 falls per 1000 bed days. In the previous year (2023/24) this was 5.62 falls per 1000 bed days recorded. This shows a consistent trend of remaining below the national average of 6.63 per 1000 bed days. As a result of this, we are focusing on inpatient injurious falls. Methods: In the hospital, there is an established Falls panel, consisting of leads on safety, safeguarding and specialist in falls prevention, management and bone health treatment. The panel reviews any falls that result in moderate or severe harm, such as fractures, head