Background Information Recently randomized trials have not been identified

Background information recently randomized trials

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Background Information: Recently, randomized trials have not been identified statistically to reduce falls in hospitals. Instead, it is observed that multifactorial interventions produced mixed results. A recent review is done on the trials to show that multifactorial interventions are more effective in preventing falls but no recommendations are given regarding their components. Also the interventions are difficult and expensive to implement and confusing to individual patients. There is need for identification of single (individual) intervention strategies to prevent falls in the wards. Patient education program is a good and promising intervention which is also a multifactorial. The program provides information with a one-to-one follow up with a research occupational therapist. The intervention is said to be 50 % effective among people with cognitive function that is both intact and impaired.
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NURSING 4 Objective : To compare patient education providing models vs. usual care to prevent hospital falls. Strategies/Method Used and the Impacts: A group of 3 statisticians is picked randomly to carry out controlled trials on older adults (1206 patients) admitted in Australian based hospitals with acute and sub cute cases. Those who had participated in the trial earlier and extremaly ill patients are excluded. The first model involved video based and written materials and close monitoring with a physiotherapist. The model presented data falls that were epidemiologic, the causes, self-reflection on risks, and identification of the problem, preventive strategies, set of the goals and review. In the second model, the physiotherapist was absent. The rate of falls was lower for participants with intact cognitive function compared to those with impaired function. The model involving a physiotherapist was more effective .The strategy calls for working with staff members to care for older patients, use of appropriate aids, equipment and clothing and identification of environmental hazards to reduce falls. Barriers : The effectiveness of the study is dependent on the cognitive function of the patient and the availability of a health profession. The study is also not very cheap as earlier stipulated. Conclusion : There is need for further research to determine the efficacy of the program and its cost effectiveness. B : Effects of Programs Aimed at Preventing Falls that are Injury Induced among Older Adults Dwelling in the Community A Randomized Controlled Trial Authors: Fabienne El-Khoury, Bernard Cassou, Marie- Aline Charles, Patricia Dargent- Molina (2013)
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NURSING 5 Introduction and background information: According to El-Khoury et al (2013) falls and related injuries are very common resulting to long term pain or impairment among older adults They linked with increased costs and risk of being discharged to a nursing home (Gill et al, 2013 & Davis et al, 2010).Properly designed exercise programs can be used to prevent injury related falls among adults at homes. Analysis show that exercise programs reduce the risk of fractures.
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