Posters for 3rd World Falls Congress 2026

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Falls Consultant Geriatrician Clinic Referrals Review: Improving Access to Multi-professional Falls Services.

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Wendy Wilkinson
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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

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The Architecture of Confidence: Mapping the Relationship Between Cognition, Age, and Falls Efficacy

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Rosy Armelia¹*, Susiana Nugraha², Indri Hapsari Susilowati³; Hari Purnomo¹; Hartomo²
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The aging process leads to a decline in body awareness and perception, which significantly impairs balance, coordination, and daily motor functions, thereby increasing vulnerability to mobility limitations. Globally, 45.6 million falls were recorded among individuals aged ≥65 years in 2021. In Indonesia, 29.0% of older adults report a history of falls, with recurrence rates reaching 45.4%. A key concept underlying this issue is falls efficacy, defined as an individual’s confidence in performing daily activities without falling. Low falls efficacy can trigger a maladaptive cycle in which fear
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The Discrepancy Between Perceived Fall Efficacy and Actual Physical Performance Using TUG and Chair Rise Tests

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Indri Hapsari Susilowati1*, Susiana Nugraha2, Rosy Armelia3, Robiana Modjo1
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Background: Falls are a leading cause of morbidity among older adults and are influenced by both physiological declines in mobility and psychological factors such as fall-related self efficacy. Previous studies suggest that subjective confidence in avoiding falls does not always align with objective functional performance. However, few studies have concurrently examined perceived fall efficacy alongside standardized physical performance measures such as the Timed Up and Go (TUG) and chair rise tests. This study aimed to examine the relationship between fall efficacy and objective functional
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Mitigating Fall Risk: Survey Findings and Suggestions from an ISAT-Driven Integrated Care Strategic Approach

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SURESH KUMAR SWAMINATHAN
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Abstract title : Mitigating Fall Risk: Survey Findings and Suggestions from an ISAT-Driven Integrated Care Strategic Approach. Background and Objectives Falls remain a leading cause of injury in older adults within community units. This project aimed to assess the readiness and scalability of fall prevention strategies—including floor beds, safety mats, and music-enhanced therapy—across Dublin and Midland Region HSE units using the Intervention Scalability Assessment Tool (ISAT). The goal was to identify effective, acceptable, and sustainable interventions that can be adapted system-wide
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Acceptability of High Intensity Functional Training in people with Parkinson's: a randomised feasibility trial protocol

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D Pendry-Brazier1; L Walker1; A Nodehi1; Y Ben-Shlomo2; MD Smith1,3
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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

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Antihypertensive Prescribing in Older Adults: Are We Prescribing Correctly?

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Neelanjana Dutta1; Parul Singh1; Hafsa Promi1; Muhammad Azam2
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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

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Nurse Scientists’ Success: Implementation of Bed-side Fall Injury Attenuation Solutions

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Patricia Quigley
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Nurses Across All Levels and Organization will learn: 3 strategies to utilize barriers to practice as solutions for invention and population-based approach to fall injury prevention. 4 organizational priorities to separate fall injury prevention as separate and distinct from fall prevention. 3 patient safety priorities to use of bedside floor mats Practical takeaways that address: Nurses know that patients who fall in their care are at risk for injury and injury severity is dependent on the circumstances and characteristics of falls, intrinsic and extrinsic injury risk factors by patient and
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Patient Centred Clinical Approach and Number of Falls: A Potential Model for Falls Clinics

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Anil Mane 12, Nia Mason1, Christopher Earing 2
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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

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Improving Acute Kidney Injury Management in geriatric-relevant inpatient cohort: A Two-Cycle Quality Improvement Project

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S Ajith 1; A Nair 1
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Introduction Acute kidney injury (AKI) is common in hospitalised older adults and associated with increased mortality, prolonged length of stay and preventable harm. NICE NG148 and Trust AKI guidelines outline essential early management standards. This project aimed to improve compliance with these standards in medical inpatients at Good Hope Hospital, with a focus on older adults. Method This QIP used a Plan-Do-Study-Act (PDSA) approach and was conducted on general medical wards. Cycle 1 involved retrospective review of 30 adult inpatients with KDIGO-defined AKI alerts over four weeks (April
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Evidence and Implementation: Innovative Fall Injury Technologies and Adaptive Fashion Clothing to Reduce Fall-related Trauma

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Patricia Quigley
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Abstract ID - 4262 Abstract title - Evidence and Implementation: Innovative Fall Injury Technologies and Adaptive Fashion Clothing to Reduce Fall-related Trauma Abstract Author Name - Patricia Quigley, PhD, MPH, MS,APRN, CRRN, FAAN, FAANP, FARN Abstract Provenance - Moderator: Patricia Quigley, President, Patricia A Quigley Nurses Consultant, LLC , St. Petersburg, FL, USA Abstract Content - Purpose: Participants will be compelled to implement scientifically proven innovative technology to reduce fall-injury severity. Participants will gain knowledge to: Transfer knowledge about the scientific
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Health care professional perspectives on vision screening in older adults who attend hospital following a fall: a focus group study

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A Baig1,2; K Radford3; A Cowley1,2,4; J Mehta5; AL Gordon
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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

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From Assessment to Engagement: Inertial Gait Analysis and Remote Exercise for Fall-Risk Prevention

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L Ruiz-Ruiz1; M Neira-Álvarez2; A Curiel2; E Huertas3; R. García4; M. Pilla1; F Seco1; A R Jiménez1
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Introduction Ageing leads to subtle mobility changes that increase fall risk if not identified early. Most existing solutions intervene only after functional decline becomes evident. This work presents an integrated preventive approach combining clinically accurate gait analysis with remotely supervised exercise programmes, aiming to detect early deterioration and promote safer, more autonomous ageing. Methods The system includes: (1) a shoe-mounted inertial sensor (Moverics) enabling rapid gait assessment and extraction of validated fall- and frailty-related metrics; and (2) ViviFil, a mobile
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Commitment to Residents’ Safe Steps Forward: Individualized Shoes

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Patricia Quigley1, Karen Kaminski Ciancio2
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Introduction. Two leading interventions for footwear when individuals are admitted as inpatients across healthcare settings are non-skid socks and their personal shoes, without assessment if non-skid socks or personal shoes are appropriate. These interventions are insufficient to meet complex needs for individualized footwear and population-specific footwear necessary for safe transfer and mobility. Two foot problem categories associated with falls are local factors (structural foot disorders affecting load-bearing bones), systemic factors (dermatologic, vascular, neurologic musculoskeletal
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A Rapid Community Response to Long Lies in Frail Patients: Reducing Hospital Admissions. A Prospective Service Evaluation.

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Dr Hussein Abu Rabia
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Admission Avoidance Through WROLL Background: Falls are common in older adults, with up to 35% of those aged ≥65 years falling each year. A long lie remaining on the floor for over 60 minutes conveys serious risks, including infection, muscle injury, functional decline, and hospitalisation. The Wigan Reduction of Long Lie Service (WROLL) was set up to respond quickly to these events and reduce unnecessary admissions. Methods: We prospectively evaluated 49 patients referred to WROLL. We recorded demographics, frailty scores, fall circumstances, length of lie, frailty blood tests, including CK
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Research impacts into reality underpinning Falls Prevention and Bone Health Strategy supporting hospital to community focus

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Dr Christina Heaton 1, Niamh Kearney 2
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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

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IMPACTS OF AN ETHNOGRAPHIC STUDY OF EXPERIENCES OF FALLS IN DOMESTIC SETTINGS AND THE USE OF AMBULANCE SERVICES

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Dr Christina Heaton
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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

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Clinical audit of inpatient injurious falls

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Kelly Banham 1, Dr Christina Heaton 2
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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

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Re-evaluating Diabetes Targets in Older Adults - Does Frailty Matter?

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J Chiu1, L Olding 1, A Lisitsyna 1,2, R Gurung 2, H Matharu 2, Y Han 2, Z Hobart 2, N Shofique 2
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Introduction The management of type 2 diabetes in older adults should be optimised with treatment plans that balance glycaemic control with the risks of hypoglycaemia and overtreatment. Overly strict glucose control has been linked to higher mortality, with inappropriate medication use contributing to dangerous hypoglycaemic episodes. NICE guidelines currently suggest an HbA1c target of ≤53 mmol/mol on a hypoglycaemic agent, with less ambitious targets for older or frail individuals to avoid risks such as hypoglycaemia and falls. This audit aims to assess glycaemic control in older adults
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Impact of Cataract Surgery on Falls Risk in Older Adults: A Systematic Review

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Ashley Lim1
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Introduction: Falls are a major cause of morbidity, functional decline, and loss of independence in older adults. Visual impairment is a well-recognised and potentially modifiable risk factor for falls, with cataract being the leading cause of reversible visual loss worldwide. Cataract surgery improves visual acuity, contrast sensitivity, and depth perception, all of which are essential for safe mobility. However, evidence regarding the effect of cataract surgery on falls risk in older adults remains inconsistent and has not been comprehensively synthesised. Clarifying this relationship is
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