American Home’s downfall stretches risks

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There are also really good evidence-based home exercise programs,” she said. SOURCE: Journal of the American Geriatrics Society, February 10, 2012. Our Standards:The Thomson Reuters.

Epidemiology of Falls in the Elderly. However, the psychologic impact of a fall or near fall often results in a fear of falling and increasing self-restriction of activities. The fear of future falls and subsequent institutionalization often leads to dependence and increasing immobility, followed by functional deficits and a greater risk of falling.

A research study to determine if the Berg Balance Test could be used by nurses to predict an elderly person’s risk of falling in a sample population of sixty-six residents aged between 69 to 94 using a questionnaire pertaining to their fall history and activity level has shown that the test demonstrated poor sensitivity for predicting falls.

In a supplementary analysis, the recently updated Cochrane review of interventions for preventing falls in older adults living at home examined the effect of exercise on fractures specifically.7 This analysis, which was based on six trials, showed that fall prevention exercise programmes are associated with a significantly lower risk of fractures.

How NCOA Helps. NCOA’s National Falls Prevention Resource Center supports the implementation of evidence-based falls prevention programs and serves as a national clearinghouse of tools and best practices. Explore materials related to falls prevention in our Resources Library.

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assertively, and mitigating fall hazards in the home.17 In Matter of Balance, cognitive restructuring techniques are used extensively to help participants identify, evaluate, and change maladap-tive beliefs regarding falls and fall risk. additional intervention strategies, based on CBT, range from generaliza-tion (applying lessons learned through

Fall-risk assessment instruments A sy tem ai crvw of ld nb k -u , g term, community, and home-support care settings found that no single tool is rec-ommended for implementation in all settings or for all subpopulations. However, th eM o rs Fa lSc ( ) n d. TmR ikA gE y Inpatients (STRATIFY) are well validated for assessing fall risk in adults.

 · Why The Fall of the American Empire Will Come by 2030 Historian Alfred McCoy explains why American power is coming to an end and lays out his vision for the new global order. Paul Ratner

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