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A qualitative investigation of injurious falls in long-term care

WILLIAMS J; KAASALAINEN S; HADJISTAVROPOULOS T; SCUDDS R; THORPE AP; NEVILLE S; TREMEER J; ANDERSEN
DISABIL REHABIL , 2011, vol. 33, n° 5, p. 423-432
Doc n°: 151579
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09638288.2010.498555
Descripteurs : DF11 - POSTURE. STATION DEBOUT

Although falls often result in serious injury among seniors residing in
long-term care (LTC), there is a paucity of research about LTC staff perceptions
about falls. Our purpose was to elicit opinions of LTC staff about falls and fall
prevention given 'least restraint' policies. We also aimed to identify obstacles
for optimal falls prevention. METHOD: Data were collected from administrators and
a wide variety clinical staff (N = 98; 7 LTC facilities) using 11 focus groups
and 28 interviews. Questions were asked about clinical practices related to
falls. We employed thematic analysis to ascertain primary and secondary themes
within the data. RESULTS: Participants viewed falls as a major challenge. They
expressed concerns about their ability to control falls and manage consequences.
Participants were conflicted about the role of restraints in falls management.
Although they acknowledged beneficial effects of least restraint in terms of
resident independence and increased activity, they also noted that in some
instances, restraints may prevent falls, especially when individuals with
dementia are considered. CONCLUSIONS: Participants were highly attentive to
issues surrounding falls. However, many were unaware of clinically important
findings from relevant research and misperceived fall-related (restraint)
policies. Physical therapists have a role to play in education initiatives
targeting these areas.

Langue : ANGLAIS

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