It takes a village to prevent falls: reconceptualizing fall prevention and management for older adults
Systematic evidence reviews support the efficacy of physical activity programs and multifactorial strategies for fall prevention. However, community settings in which fall prevention programs occur often differ substantially from the research settings in which efficacy was first demonstrated. Becaus...
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| Veröffentlicht in: | Injury prevention 2008-08, Vol.14 (4), p.266-271 |
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| creator | Ganz, D A Alkema, G E Wu, S |
| description | Systematic evidence reviews support the efficacy of physical activity programs and multifactorial strategies for fall prevention. However, community settings in which fall prevention programs occur often differ substantially from the research settings in which efficacy was first demonstrated. Because of these differences, alternative approaches are needed to judge the adequacy of fall prevention activities occurring as part of standard medical care or community efforts. This paper uses the World Health Organization Innovative Care for Chronic Conditions (ICCC) framework to rethink how fall prevention programs might be implemented routinely in both medical and community settings. Examples of innovative programs and policies that provide fall prevention strategies consistent with the ICCC framework are highlighted, and evidence where available is provided on the effects of these strategies on processes and outcomes of care. Finally, a “no wrong door” approach to fall prevention and management is proposed, in which older adults who are found to be at risk of falls in either a medical or community setting are linked to a standard fall risk evaluation across three domains (physical activity, medical risks, and home safety). |
| doi_str_mv | 10.1136/ip.2008.018549 |
| format | Article |
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| ispartof | Injury prevention, 2008-08, Vol.14 (4), p.266-271 |
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| language | eng |
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| source | MEDLINE; BMJ Journals - NESLi2 |
| subjects | Accidental Falls - prevention & control Aged Attitude to Health Chronic Disease Chronic illnesses Collaboration Diabetes Evidence-Based Medicine - methods Exercise Falls Health care Health Services for the Aged - standards Humans Leadership Older people Prevention Quality Indicators, Health Care Risk assessment Veterans World Health Organization |
| title | It takes a village to prevent falls: reconceptualizing fall prevention and management for older adults |
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