TY - JOUR PY - 2010// TI - Preventing falls and related injuries among seniors in assisted living residences JO - Injury prevention A1 - Scott, V. A1 - Bawa, H. A1 - Feldman, Fabio A1 - Gould, J. S. A1 - Leung, M. A1 - Rajabali, F. SP - A62 EP - A62 VL - 16 IS - Suppl 1 N2 - Safety 2010 World Injury Conference, London, Abstract:: Introduction The purpose of this study was to addresses a gap in the fall prevention literature with a focus on Assisted Living Residences (ALRs) - a new community housing option for a rapidly growing number of older persons that are at high risk falls. The result of the 1-year collaborative study was the development of Best Practice Guidelines for integration into routine care. Methods A 6-month prospective, action research intervention was conducted at two ALR sites, with 161 residents. Measures included focus groups, pre/post staff and resident surveys, pre/post measures of balance and gait, and 6-month fall/injury surveillance. Interventions included staff and resident training on fall tracking, fall prevention education for staff and residents, and physical activity interventions. Results Over 6 months, 155 falls were recorded, with 38% (N=73) of residents identified as having at least one fall and 43% (N=72) of falls resulting in injury. There was a statistically significant reduction in the rate of falls per 1000 resident days between the first and second three-month periods (X2=11.98; p=0.001). Fall risk reduction was demonstrated by a significant difference (t=3.16, p=.002) in pre/post Timed-Up-and-Go scores. Focus group findings included the need to tailor prevention to joiners and non-joiners of group intervention activities. Conclusion The study demonstrated that fall prevention guidelines can be implemented within routine service delivery in ALRs with a positive effect on fall risk reduction.

LA - en SN - 1353-8047 UR - http://dx.doi.org/10.1136/ip.2010.029215.226 ID - ref1 ER -