Fall hos personer, 75 år och äldre, som inkommit till akutmottagningen vid Akademiska sjukhuset - sekundärprevention och uppföljning
Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
Purpose: 1) For persons, 75 years and older, who sustained fall incidents and sent home from the emergency department within one day, to what extent earlier fall accidents, circumstances around the fall accident, fear of falling and secondary prevention concerning falls is documented in medical records in connection with visits at the emergency room. 2) To explore the extent of fear of falling, activity avoidance due to fear of falling, completed secondary preventive interventions for falls, the initiator of any preventive action, use of walking aids and pharmaceuticals, need of help at home 4-6 months after the fall accident and people's own suggestions regarding appropriate preventative measures.
Method: Descriptive study of 54 patient records and a questionnaire study with structured and semi-structured questions which were answered by 23 women and 9 men, mean age 80.5 years.
Results: Circumstances around the fall incidents had been documented in varying degrees, previous falls in a little degree and fear of falling and secondary prevention in respect of falls had not been documented. Four out of 32 people received follow-up focusing on the fall situation and nine people had appropriate preventive measures implemented where few of the measures were initiated by the staff of the municipality or county. A third stated fear of falling and most of these avoided activities because of fear of falling. Several proposals for secondary prevention efforts were proposed.
Conclusion: Fear of falling and fall prevention is not documented in connection with visits to the emergency room and follow up with a focus on fall accidents and initiative of appropriate preventive measures are implemented only to a small extent of care and care providers. Guidelines for secondary prevention of falls should be developed and implemented.
Place, publisher, year, edition, pages
2010. , 35 p.
falls, elderly, community living, falls prevention
IdentifiersURN: urn:nbn:se:uu:diva-151508OAI: oai:DiVA.org:uu-151508DiVA: diva2:410172
Hellström, Karin, Dr Med vet, univ lektor
Birgitta, Lindmark, Dr Med vet,prof emer