What is the focus of Topic 1 in the course RS4270?
Geriatric Syndrome I: Fall and Home Safety.
What percentage of fallers reported a fear of falling?
70%.
1/327
p.1
Prevalence of Elderly Falls

What is the focus of Topic 1 in the course RS4270?

Geriatric Syndrome I: Fall and Home Safety.

p.9
Risk Factors for Falls

What percentage of fallers reported a fear of falling?

70%.

p.64
Intervention Strategies for Fall Prevention

What is the purpose of the LiFE programme?

To prevent falls in older adults.

p.18
Risk Factors for Falls

What is sarcopenia?

Muscle weakness associated with aging.

p.8
Prevalence of Elderly Falls

How many older people in the UK suffered hip fractures in 2017/18?

Nearly 100,000 older people (aged 65+).

p.1
Educational Interventions and Cognitive Behavioral Approaches

Who is the instructor for the course RS4270?

Ms. Anita Ngan.

p.37
Risk Factors for Falls

What is a common type of wrist fracture?

Colles' fracture.

p.63
Intervention Strategies for Fall Prevention

What type of strategies are recommended for fall prevention?

Multicomponent or population-based fall prevention strategies that include exercise and educational components.

p.38
Consequences of Falls for the Elderly

How does fear of falling affect physical activity levels?

It leads to a decrease in physical activity level.

p.40
Intervention Strategies for Fall Prevention

Why is it important to balance safety and occupation?

To ensure that individuals can engage in meaningful activities while minimizing risks.

p.47
Intervention Strategies for Fall Prevention

What should be targeted for the greatest impact in interventions?

Populations with one or more identified risk factors.

p.47
Intervention Strategies for Fall Prevention

What type of interventions should be provided instead of single intervention programs?

Multifactorial interventions.

p.49
Educational Interventions and Cognitive Behavioral Approaches

What is meant by the 'just right' level of awareness?

It refers to having sufficient awareness to encourage behavior change without causing hypervigilance.

p.62
Intervention Strategies for Fall Prevention

What personal factors should be considered in home modifications?

Personal values, taste, and styles.

p.45
Clinical Approaches to Fall Management

What is the first step in the clinical algorithm for fall management?

Screening and Assessment.

p.4
Prevalence of Elderly Falls

Which district is projected to have the highest proportion of elderly population in Hong Kong?

Wong Tai Sin District.

p.41
Risk Factors for Falls

What is the balance of safety and occupation in relation to falls?

It involves managing the risk of falls while allowing individuals to engage in meaningful activities.

p.45
Clinical Approaches to Fall Management

What assessments are included in further investigation after positive screening?

Physical examination, medical history, functional and cognitive assessment.

p.44
Clinical Approaches to Fall Management

What adaptive behaviors can be taught to fallers?

Slow rising and using a cane.

p.32
Risk Factors for Falls

How can footwear affect the risk of falls?

Inappropriate or unsafe footwear can increase the likelihood of falls.

p.21
Risk Factors for Falls

What impact do low income and education levels have on the elderly?

They can contribute to a higher risk of falls.

p.65
Intervention Strategies for Fall Prevention

How many Balance Training activities are included in the LiFE programme?

7 Balance Training activities.

p.21
Risk Factors for Falls

Why is lack of social interaction a risk factor for falls?

It can lead to isolation and decreased physical activity.

p.60
Intervention Strategies for Fall Prevention

What type of support should the insole of footwear provide?

Firm support.

p.54
Intervention Strategies for Fall Prevention

What additional recommendation was made after 6 months?

A booster occupational therapy visit is suggested.

p.60
Intervention Strategies for Fall Prevention

How can too much cushioning in footwear affect a person?

It can interfere with proprioceptive feedback.

p.46
Clinical Approaches to Fall Management

What is the purpose of analyzing a recent fall incident?

To reform the event through a narrative process.

p.11
Prevalence of Elderly Falls

What percentage of unintentional injuries in the elderly aged 65 and above are due to falls?

73.0%.

p.53
Intervention Strategies for Fall Prevention

What are examples of mobility devices that can reduce fall risk?

Walkers and canes.

p.52
Risk Factors for Falls

What is the aim of medication monitoring in relation to falls?

To minimize the number of medications that increase the risk of falling.

p.66
Community Resources and Support for Fall Prevention

What types of community resources are available for the elderly?

Senior centers, health clinics, and support groups.

p.52
Risk Factors for Falls

Which types of medications are known to increase the risk of falling?

Psychotropic medications such as benzodiazepines, hypnotics, antidepressants, and major tranquilizers.

p.35
Consequences of Falls for the Elderly

How can falls affect the overall health of elderly individuals?

They can lead to complications such as pneumonia or blood clots.

p.28
Risk Factors for Falls

What are individual experiences related to falls?

Perception of risk.

p.9
Risk Factors for Falls

What was the increase in reported fear of falling among the elderly over 1 year?

From 30% to 37%.

p.17
Risk Factors for Falls

How are risk factors for falls characterized?

They are interactive.

p.58
Fall Management

What is the purpose of fall management?

To prevent falls and manage their consequences.

p.7
Definition and Global Facts about Falls

What is the estimated population of the USA as of 2021?

Around 330 million.

p.64
Intervention Strategies for Fall Prevention

What age group was targeted in the LiFE programme study?

Older adults aged 70 or above.

p.6
Consequences of Falls for the Elderly

What is the average health system cost per fall injury for people aged 65 years or older in Australia?

US$ 1049.

p.19
Environmental and Behavioral Factors Affecting Falls

What is a common environmental factor that contributes to falls?

Poor building design.

p.33
Risk Factors for Falls

What is a significant risk factor for falls in the hospital?

Previous fall.

p.22
Risk Factors for Falls

What chronic condition is associated with angina and dizziness, increasing fall risk?

Cardiac conditions.

p.21
Risk Factors for Falls

How do community resources affect fall risk?

Lack of community resources can limit access to support and services.

p.13
Local Statistics on Falls in Hong Kong

How many episodes of inpatient discharges and deaths due to falls were recorded in 2012 for people aged 65 and above?

19,939 episodes.

p.21
Risk Factors for Falls

What does limited access to health and social services imply for the elderly?

It can increase their vulnerability to falls.

p.22
Risk Factors for Falls

What condition leads to weakness and poor stability, increasing the risk of falls?

Osteoporosis.

p.24
Risk Factors for Falls

How does the Occupation component of the PEO model influence fall accidents?

It looks at the activities a person engages in and their impact on fall risk.

p.29
Environmental and Behavioral Factors Affecting Falls

What are the features of the natural and built environment related to falls?

Floor and ground surfaces, steps and stairs, lighting, furniture, interaction with other people, children and animals, exposure to adverse weather conditions, and familiarity of the environment.

p.39
Consequences of Falls for the Elderly

What are potential negative consequences of restraining the elderly?

Increased risk of physical and psychological harm, and decreased mobility.

p.42
Risk Factors for Falls

What is the balance of safety and occupation in relation to falls?

It involves assessing the risks of falls while allowing individuals to engage in meaningful activities.

p.42
Risk Factors for Falls

How can engaging in occupations affect the risk of falls?

Engaging in occupations can increase the risk of falls if safety measures are not considered.

p.48
Educational Interventions and Cognitive Behavioral Approaches

How does the recording activity of falls contribute to fall prevention?

It likely increases awareness of one's risk for falling.

p.9
Prevalence of Elderly Falls

What is the mean number of falls per faller in the study?

1.4.

p.42
Risk Factors for Falls

Why is it important to balance safety and occupation for the elderly?

To enhance their quality of life while minimizing the risk of falls.

p.17
Risk Factors for Falls

What is the risk percentage for having no risk factors for falls?

4%.

p.4
Prevalence of Elderly Falls

What is the projected percentage of the elderly population (aged 65 or above) in Wong Tai Sin District by 2026?

26%.

p.11
Prevalence of Elderly Falls

Which gender experiences more fall injuries in the elderly aged 65 and above?

More females.

p.59
Intervention Strategies for Fall Prevention

What type of protective clothing can help prevent hip injuries?

Hip protection pants, like Hip Air.

p.20
Risk Factors for Falls

What is a behavioral factor that can increase fall risk related to medication?

Multiple medication use, such as diuretics and antidepressants.

p.62
Risk Factors for Falls

What legal barriers might affect home modifications?

Government properties may have restrictions on modifications.

p.10
Local Statistics on Falls in Hong Kong

How do fallers compare to non-fallers in terms of health care service consumption?

Fallers, particularly recurrent fallers, consume more health care services than non-fallers.

p.21
Risk Factors for Falls

What socioeconomic factor is associated with inadequate housing space?

Inadequate housing space can lead to increased risk of falls.

p.41
Risk Factors for Falls

How can engaging in occupations affect the risk of falls?

Engaging in certain occupations may increase the risk of falls if safety measures are not adequately implemented.

p.1
Educational Interventions and Cognitive Behavioral Approaches

When does the course RS4270 take place?

23 September 2024.

p.13
Local Statistics on Falls in Hong Kong

What is the incidence of falls among community-living elderly people aged 65 or above in Hong Kong?

28% - 35%.

p.64
Intervention Strategies for Fall Prevention

What was the significant outcome of the LiFE exercise group compared to the control group?

A 31% reduction in fall rate.

p.13
Local Statistics on Falls in Hong Kong

What is the increased incidence of falls for those aged 70 or above in Hong Kong?

32% to 42%.

p.19
Environmental and Behavioral Factors Affecting Falls

How do slippery floors and stairs affect fall risk?

They increase the likelihood of slipping and falling.

p.33
Risk Factors for Falls

What condition related to blood pressure can increase fall risk?

Postural hypotension.

p.19
Environmental and Behavioral Factors Affecting Falls

What role do loose rugs play in fall incidents?

They can cause tripping and falling.

p.65
Intervention Strategies for Fall Prevention

What do preliminary findings of the LiFE programme indicate?

Very positive results including fall rate and feedback.

p.3
Prevalence of Elderly Falls

What factors contribute to the high prevalence of falls among the elderly?

Factors include age-related physical decline, medication side effects, and environmental hazards.

p.47
Intervention Strategies for Fall Prevention

What is the first step in evidence-based interventions?

Individualized evaluation.

p.12
Local Statistics on Falls in Hong Kong

What percentage of unintentional injuries in elderly over 75 are due to falls?

88.6%.

p.47
Intervention Strategies for Fall Prevention

What are some examples of exercise interventions?

Exercise interventions, home modification interventions, educational interventions, and other intervention strategies.

p.66
Community Resources and Support for Fall Prevention

How can community resources help in fall prevention?

By offering educational programs, safety assessments, and access to health services.

p.48
Intervention Strategies for Fall Prevention

What can the fall diary be used for in interventions?

It serves as a basis for narrative occupation-based interventions aimed at raising awareness and combating fear of falling.

p.59
Intervention Strategies for Fall Prevention

What is a protective measure that can be worn on the head?

Protective helmet, such as Abonet or Ribcap.

p.43
Intervention Strategies for Fall Prevention

How can exercise programs serve as an intervention strategy?

They improve strength, balance, and coordination, reducing the likelihood of falls.

p.9
Consequences of Falls for the Elderly

What percentage of fallers had serious injuries?

7%.

p.52
Clinical Approaches to Fall Management

Who should be consulted for medication monitoring?

A pharmacist.

p.54
Intervention Strategies for Fall Prevention

What was the purpose of the study conducted by Chu M. M. et al, 2017?

To investigate the effects of an occupational therapy fall reduction home visit program for older adults admitted to the emergency department for a fall.

p.28
Risk Factors for Falls

What psychological aspect can influence falls in the elderly?

Fear of falls or low falls self-efficacy.

p.38
Consequences of Falls for the Elderly

What impact does fear of falling have on quality of life?

It decreases the quality of life.

p.45
Intervention Strategies for Fall Prevention

What should be initiated to address fall risks?

A multicomponent intervention.

p.15
Risk Factors for Falls

What are common risk factors for falls in the elderly?

Impaired vision, muscle weakness, balance issues, and certain medications.

p.58
Fall Prevention

What are preventive aids?

Devices or tools designed to help prevent falls.

p.24
Risk Factors for Falls

What does PEO stand for in the context of fall accidents?

Person-Environment-Occupation model.

p.65
Intervention Strategies for Fall Prevention

How many Strength Training activities are included in the LiFE programme?

7 Strength Training activities.

p.15
Risk Factors for Falls

What role does muscle weakness play in fall risk?

It decreases stability and strength needed to maintain balance.

p.22
Risk Factors for Falls

Which chronic condition is characterized by joint pain and stiffness, contributing to fall risk?

Arthritis.

p.2
Intervention Strategies for Fall Prevention

What knowledge will be increased regarding intervention strategies?

Knowledge of intervention strategies with practical tips.

p.15
Risk Factors for Falls

What environmental factors can contribute to falls?

Poor lighting, uneven surfaces, and cluttered walkways.

p.36
Consequences of Falls for the Elderly

What type of injuries can result from falls?

Fractures.

p.24
Clinical Approaches to Fall Management

Why is the PEO model important in understanding fall accidents?

It provides a comprehensive view of the interactions between the person, environment, and occupation.

p.26
Risk Factors for Falls

How can visual impairment contribute to fall risk?

It can hinder a person's ability to navigate their environment safely.

p.22
Risk Factors for Falls

Which chronic condition is linked to poor memory and safety awareness, heightening fall risk?

Dementia.

p.36
Consequences of Falls for the Elderly

What are joint distortions and dislocations?

Injuries where joints are forced out of their normal position, often due to falls.

p.31
Risk Factors for Falls

What are functional impairments that can lead to falls?

Limited Activities of Daily Living (ADL).

p.40
Intervention Strategies for Fall Prevention

What is the main focus of balancing safety and occupation?

Achieving a balance between meaningful occupation and safety measures.

p.39
Intervention Strategies for Fall Prevention

What is a more effective approach than restraining to prevent falls in the elderly?

Implementing fall prevention strategies that promote mobility and independence.

p.35
Consequences of Falls for the Elderly

What is a common physical consequence of falls for the elderly?

Fractures, particularly hip fractures.

p.51
Educational Interventions and Cognitive Behavioral Approaches

What is a cognitive behavioral approach in fall prevention?

It involves educational interventions for highly active older adults.

p.35
Consequences of Falls for the Elderly

What impact do falls have on the mobility of elderly individuals?

Falls can result in reduced mobility and independence.

p.49
Educational Interventions and Cognitive Behavioral Approaches

What is a potential consequence of excessive awareness about falling?

It can lead to hypervigilance, which may increase the risk of falling.

p.9
Consequences of Falls for the Elderly

What types of injuries did 68% of fallers sustain?

Mild soft tissue injuries (local pain, bruises, hematoma, abrasions, and lacerations).

p.53
Risk Factors for Falls

What should users be aware of when using mobility devices?

The potential to increase the risk of falls.

p.38
Consequences of Falls for the Elderly

What is a common psychological effect of falling in the elderly?

Loss of self-confidence.

p.44
Clinical Approaches to Fall Management

How can recurrence of falls be prevented?

By treating underlying causes/illness and identifying & reducing risk factors.

p.6
Prevalence of Elderly Falls

Which age group suffers the greatest number of fatal falls?

Adults older than 60 years of age.

p.44
Clinical Approaches to Fall Management

What environmental changes can help prevent falls?

Reducing environmental hazards.

p.20
Risk Factors for Falls

How does a sedentary lifestyle contribute to fall risk?

It leads to a lack of exercise.

p.25
Risk Factors for Falls

What are the person-related aspects to consider in occupation analysis for older people at risk of falls?

Individual physical functioning, individual medical conditions, individual experiences, cognitive abilities, and behaviors.

p.38
Consequences of Falls for the Elderly

What specific fear may elderly individuals have after experiencing a fall?

Fear of not being able to get up after a fall.

p.25
Environmental and Behavioral Factors Affecting Falls

What environmental aspects are important in analyzing falls risk for older individuals?

Features of the natural and built environment, and requirements of social, cultural, and institutional contexts.

p.20
Risk Factors for Falls

What kind of behavior can increase the risk of falls?

Risk-taking behavior.

p.3
Prevalence of Elderly Falls

What percentage of elderly individuals fall each year?

Approximately 30% of older adults aged 65 and older fall each year.

p.65
Intervention Strategies for Fall Prevention

How are the activities in the LiFE programme designed to be integrated?

They are included in the participants’ daily life.

p.64
Intervention Strategies for Fall Prevention

How is the LiFE programme tailored to participants?

Individualized and tailored to the person’s living environment.

p.24
Environmental and Behavioral Factors Affecting Falls

What role does the Environment component play in fall accidents according to the PEO model?

It examines how physical surroundings can contribute to fall risks.

p.64
Intervention Strategies for Fall Prevention

What type of study was conducted to evaluate the LiFE programme?

Randomized Controlled Trial (RCT).

p.27
Risk Factors for Falls

What impact can a stroke have on fall risk?

It can lead to weakness or coordination problems, increasing the risk of falls.

p.37
Consequences of Falls for the Elderly

Which body parts are commonly affected by fractures?

Upper arm, forearms, hand, spine, hip, pelvis, femur, and ankle.

p.49
Educational Interventions and Cognitive Behavioral Approaches

What is the primary goal of educational interventions in fall prevention?

To promote behavioral changes and raise awareness about one's risk of falling.

p.62
Intervention Strategies for Fall Prevention

What is a key aspect of addressing compliance issues in home modifications?

Client-centered collaboration.

p.63
Intervention Strategies for Fall Prevention

What type of exercise is recommended to reduce fall risk?

Lifestyle Integrated Functional Exercise.

p.62
Intervention Strategies for Fall Prevention

How can a client's perception affect home modifications?

Their perception of the usefulness of home modifications is crucial.

p.35
Consequences of Falls for the Elderly

What is a potential long-term consequence of falls for the elderly?

Increased risk of institutionalization or long-term care.

p.48
Educational Interventions and Cognitive Behavioral Approaches

What psychological aspect does the fall diary aim to improve?

Increasing self-efficacy regarding fall prevention.

p.44
Clinical Approaches to Fall Management

What should be determined after assessing a faller?

The likely precipitating cause(s) through history, physical examination, and lab results.

p.66
Community Resources and Support for Fall Prevention

What role do local organizations play in fall prevention?

They provide resources, education, and advocacy for fall prevention initiatives.

p.7
Prevalence of Elderly Falls

How many older people are treated in emergency departments for fall injuries each year in the USA?

3 million.

p.59
Intervention Strategies for Fall Prevention

What is the weight of the Hip Air belt used for hip protection?

Approximately 1 kg.

p.20
Risk Factors for Falls

Which type of medication can affect the central nervous system and increase fall risk?

Anti-convulsants and muscle relaxants.

p.59
Intervention Strategies for Fall Prevention

What are additional protective measures for falls?

Hip protectors, appropriate footwear, and protective flooring.

p.2
Prevalence of Elderly Falls

What will you be able to describe after the lecture regarding elderly falls?

The prevalence of elderly falls.

p.58
Fall Prevention

What does ADL training focus on?

Activities of Daily Living to enhance independence and safety.

p.2
Risk Factors for Falls

What awareness will be increased regarding elderly falls?

Awareness of fall risk factors.

p.3
Prevalence of Elderly Falls

How do falls impact the elderly population?

Falls can lead to serious injuries, decreased mobility, and increased fear of falling, which can further limit activity.

p.2
Risk Factors for Falls

What interaction will you learn about in relation to falls?

The interaction between Person-Environment-Occupation (PEO) and fall accidents.

p.13
Local Statistics on Falls in Hong Kong

What percentage of elderly individuals sustain serious injuries from falls?

10% - 15%.

p.23
Risk Factors for Falls

What is a significant risk factor for falls in the elderly?

Impaired balance and mobility.

p.26
Risk Factors for Falls

How does balance affect individual physical functioning?

Balance is crucial for maintaining stability and preventing falls.

p.19
Environmental and Behavioral Factors Affecting Falls

Why is insufficient lighting a risk factor for falls?

It makes it difficult to see hazards.

p.57
Intervention Strategies for Fall Prevention

What is one strategy for fall prevention related to electrical cords?

Tidying up moving electrical cords.

p.33
Risk Factors for Falls

What medication-related factor increases the risk of falls?

Taking 4 or more medications or sedatives.

p.26
Risk Factors for Falls

What role does gait play in individual physical functioning?

Gait affects how a person walks and their overall stability.

p.34
Risk Factors for Falls

What role do handrails play in fall prevention in hospitals?

Absent handrails increase the risk of falls by providing no support for patients.

p.33
Risk Factors for Falls

How does impaired arm strength affect fall risk?

It can increase the risk of falls.

p.18
Risk Factors for Falls

How much does the risk of falls increase with a 5-year increase in age?

By 12%.

p.18
Risk Factors for Falls

Which gender has a higher risk of falls?

Females.

p.66
Community Resources and Support for Fall Prevention

What is the primary purpose of community resources?

To provide support and services to individuals and families within a community.

p.63
Community Resources and Support for Fall Prevention

Where can population-based fall prevention programs be conducted?

In a variety of settings, including senior centers.

p.43
Intervention Strategies for Fall Prevention

What types of interventions can be implemented to prevent falls?

Environmental modifications, exercise programs, and education on safety practices.

p.49
Educational Interventions and Cognitive Behavioral Approaches

What type of information should educational interventions provide?

Constructive and empowering information.

p.51
Educational Interventions and Cognitive Behavioral Approaches

How can education and role-playing help older adults?

They may increase self-efficacy and reduce the fear of falling.

p.6
Prevalence of Elderly Falls

What is the second leading cause of unintentional injury deaths worldwide?

Falls.

p.53
Clinical Approaches to Fall Management

What should be monitored to ensure safety when using mobility devices?

Changes in functional conditions.

p.32
Risk Factors for Falls

What is polypharmacy?

The use of four or more prescription medications in combination.

p.7
Prevalence of Elderly Falls

How many older people are hospitalized for hip fractures each year in the USA?

At least 300,000.

p.32
Environmental and Behavioral Factors Affecting Falls

What are some home hazards that can contribute to falls?

Clutter, loose rugs, furniture with wrong height, poor lighting on stairs and hallways, and lack of bathroom safety features like grab bars.

p.54
Intervention Strategies for Fall Prevention

What type of study design was used in the research?

A single-blind, multicenter, randomized, controlled trial.

p.41
Intervention Strategies for Fall Prevention

What is a key consideration in fall prevention strategies?

Finding a balance between ensuring safety and promoting active participation in daily activities.

p.45
Clinical Approaches to Fall Management

What is assessed during the screening process for falls?

Gait and balance.

p.10
Consequences of Falls for the Elderly

What is the potential saving in public health care costs from falls prevention in Hong Kong?

Approximately HK$160 million annually.

p.28
Risk Factors for Falls

What habitual aspect can affect fall risk?

Habitual behaviors.

p.30
Environmental and Behavioral Factors Affecting Falls

What role does the cultural environment play in social interaction?

It includes public spaces with advanced technologies.

p.58
Fall Protection

What are fall protective skills?

Techniques that help individuals avoid injury during a fall.

p.33
Risk Factors for Falls

How does being in the lowest weight percentile affect fall risk?

It is considered a risk factor for falls.

p.25
Risk Factors for Falls

What role do cognitive abilities play in the risk of falls for older people?

Cognitive abilities influence decision-making and awareness of surroundings, impacting fall risk.

p.55
Environmental and Behavioral Factors Affecting Falls

How can clutter affect fall risk in the home?

Reducing clutter can help minimize fall hazards.

p.58
Post-Fall Management

What are post-fall management aids?

Tools or resources that assist in the recovery and assessment after a fall.

p.55
Environmental and Behavioral Factors Affecting Falls

What type of lighting can improve safety in the home?

Brighter lighting.

p.36
Consequences of Falls for the Elderly

What are soft tissue injuries?

Injuries that affect muscles, tendons, and ligaments, often resulting from falls.

p.31
Risk Factors for Falls

Which gender is more likely to experience falls?

Females.

p.23
Risk Factors for Falls

How does cognitive impairment affect fall risk?

It can lead to poor judgment and increased likelihood of falls.

p.55
Environmental and Behavioral Factors Affecting Falls

What safety feature should be installed on stairs?

Stair railings.

p.57
Intervention Strategies for Fall Prevention

What type of alarming system can help prevent falls?

Door sensor, bed sensor, mat sensor.

p.14
Prevalence of Elderly Falls

Where do over 50% of fatal falls occur according to local facts?

At home or residence.

p.39
Risk Factors for Falls

Can restraining the elderly help reduce falls?

Restraining the elderly may not effectively reduce falls and can lead to negative consequences.

p.12
Local Statistics on Falls in Hong Kong

What percentage of unintentional injuries in elderly aged 65-74 are due to falls?

61.8%.

p.37
Consequences of Falls for the Elderly

What type of fracture involves the hip area?

Hip fracture (includes pelvis, hip, and femur).

p.46
Clinical Approaches to Fall Management

How can an Occupational Therapist (OT) assist clients after a fall?

By facilitating reflection to improve self-awareness of risk factors.

p.48
Educational Interventions and Cognitive Behavioral Approaches

What is the purpose of a fall diary?

To record the occurrence of falls and near-falls.

p.37
Consequences of Falls for the Elderly

What type of fracture can occur in the ankle?

Ankle fracture.

p.46
Intervention Strategies for Fall Prevention

What is one goal of empowering clients in fall prevention?

To prevent future falls.

p.9
Prevalence of Elderly Falls

What was the 1-year prevalence of falls among community-dwelling elderly in Hong Kong?

19.3%.

p.43
Intervention Strategies for Fall Prevention

What are intervention strategies for fall prevention?

Methods and practices designed to reduce the risk of falls among the elderly.

p.37
Consequences of Falls for the Elderly

What is a common fracture associated with falls in the spine?

Spine fracture.

p.42
Risk Factors for Falls

What is a key consideration when balancing safety and occupation?

Identifying and mitigating potential hazards while promoting independence.

p.46
Risk Factors for Falls

What should clients appreciate regarding falls?

The multifactorial nature of risk.

p.49
Educational Interventions and Cognitive Behavioral Approaches

What can result from insufficient awareness regarding fall risks?

It will not lead to necessary behavioral changes.

p.43
Intervention Strategies for Fall Prevention

Why are intervention strategies important for the elderly?

They help to minimize the risk of falls, which can lead to serious injuries.

p.51
Educational Interventions and Cognitive Behavioral Approaches

What is one example of an educational intervention for older adults?

Actively looking for environmental hazards in community settings.

p.9
Consequences of Falls for the Elderly

What percentage of fallers sustained injuries?

75%.

p.53
Intervention Strategies for Fall Prevention

What is essential for the effective use of mobility devices?

Proper fitting (height, width) and training.

p.51
Educational Interventions and Cognitive Behavioral Approaches

What time management strategy can help older adults avoid falls?

Adopting time-management strategies to avoid unnecessary rushing.

p.44
Clinical Approaches to Fall Management

What is the first step in the clinical approach to a faller?

Assess and treat any injury.

p.62
Educational Interventions and Cognitive Behavioral Approaches

What educational aspect is important for clients regarding home modifications?

Education about available options and benefits.

p.5
Definition and Global Facts about Falls

How is a fall defined according to WHO?

A fall is defined as an event which results in a person coming to rest inadvertently on the ground, floor, or other lower level.

p.17
Risk Factors for Falls

How much does the risk of falls increase with one risk factor?

27%.

p.7
Prevalence of Elderly Falls

What proportion of older people in the USA falls each year?

More than one out of four.

p.62
Community Resources and Support for Fall Prevention

What financial considerations should be addressed in home modifications?

Identifying free or low-cost home modifications.

p.4
Prevalence of Elderly Falls

What was the percentage of the elderly population in Wong Tai Sin District in 2016?

17%.

p.17
Risk Factors for Falls

What is the risk percentage for having four risk factors for falls?

78%.

p.51
Educational Interventions and Cognitive Behavioral Approaches

What is an example of a practical skill taught to older adults regarding falls?

Steps for getting up after a fall.

p.63
Intervention Strategies for Fall Prevention

What are the key components of an individualized fall risk assessment?

Fall prevention education, home safety assessment, modification, and hazard abatement.

p.35
Consequences of Falls for the Elderly

How can falls affect the mental health of elderly individuals?

They can lead to increased fear of falling, anxiety, and depression.

p.11
Prevalence of Elderly Falls

What percentage of fatal injuries across all ages are caused by falls?

12.5%.

p.63
Educational Interventions and Cognitive Behavioral Approaches

What additional education should be included in fall prevention programs?

Education on proper footwear, home modifications, and fall recovery.

p.66
Community Resources and Support for Fall Prevention

Why is it important to utilize community resources for fall prevention?

They can enhance safety, improve health outcomes, and provide social support.

p.43
Intervention Strategies for Fall Prevention

What role does education play in fall prevention?

It raises awareness about risks and teaches safety measures to reduce falls.

p.45
Clinical Approaches to Fall Management

What indicates a need for further investigation in fall screening?

Positive screening results.

p.44
Clinical Approaches to Fall Management

What are some risk factors to identify and reduce for fall prevention?

Weakness, gait/balance problems, visual problems, and polypharmacy.

p.65
Intervention Strategies for Fall Prevention

What is the purpose of the Lifestyle integrated Functional Exercise (LiFE) programme?

To prevent falls.

p.10
Local Statistics on Falls in Hong Kong

What is the excess annual health care cost of fallers in Hong Kong?

HK$552 million for all community-living elderly.

p.28
Risk Factors for Falls

What emotional factor is considered in fall risk?

Affect.

p.30
Environmental and Behavioral Factors Affecting Falls

What is an example of social interaction in environmental aspects?

Gardening when living alone.

p.28
Risk Factors for Falls

How does cognitive function relate to fall risk?

Certain levels of cognitive impairment can increase risk.

p.30
Environmental and Behavioral Factors Affecting Falls

How can Christmas shopping at peak times affect social interaction?

It can create crowded environments that may impact mobility.

p.58
Fall Prevention

What is the role of home modification in fall prevention?

To create a safer living environment that reduces fall risks.

p.55
Environmental and Behavioral Factors Affecting Falls

What type of furniture design can help prevent falls at home?

Furniture with round corner design.

p.25
Risk Factors for Falls

How do individual medical conditions affect fall risk in older adults?

Certain medical conditions can impair mobility, balance, and overall physical health, increasing fall risk.

p.15
Risk Factors for Falls

How can certain medications increase the risk of falls?

They may cause dizziness, drowsiness, or confusion.

p.34
Risk Factors for Falls

What is a risk factor for falls related to meal times in hospitals?

Meal times can create crowded conditions that increase fall risk.

p.60
Intervention Strategies for Fall Prevention

What characteristic should footwear have to prevent slips?

It should be slip resistant.

p.19
Environmental and Behavioral Factors Affecting Falls

How do cracked or uneven sidewalks contribute to falls?

They create tripping hazards.

p.27
Risk Factors for Falls

How does Parkinson’s disease contribute to fall risk?

It can cause tremors, rigidity, and balance issues.

p.29
Environmental and Behavioral Factors Affecting Falls

How do floor and ground surfaces affect fall risk?

Uneven or slippery surfaces can increase the risk of falls.

p.34
Risk Factors for Falls

How does recent admission affect fall risk in hospitals?

Recent admissions may lead to disorientation and increased fall risk.

p.33
Risk Factors for Falls

What gait characteristic is a risk factor for falls?

Uneven gait.

p.34
Risk Factors for Falls

Why are slippery and hard floors a concern in hospitals?

They can lead to slips and falls, especially for patients with mobility issues.

p.31
Risk Factors for Falls

What type of medication can increase fall risk?

Psychoactive medication, such as antidepressants.

p.45
Clinical Approaches to Fall Management

What are the criteria for fall history in screening?

2 or more falls in the past 12 months, presents with an acute fall, or difficulty in walking and balance.

p.8
Consequences of Falls for the Elderly

What is the most common cause of injury-related deaths in people over 75?

Falls.

p.65
Intervention Strategies for Fall Prevention

Who trained a group of OTs in Hong Kong for the LiFE programme?

Professor Lindy Clemson.

p.8
Consequences of Falls for the Elderly

How many older people died as a result of a fall in 2017?

Over 5,000 older people.

p.65
Intervention Strategies for Fall Prevention

What organization translated the LiFE programme into Chinese?

HKOTA (Hong Kong Occupational Therapy Association).

p.8
Definition and Global Facts about Falls

What was the UK population around in 2019?

Approximately 67 million.

p.15
Risk Factors for Falls

How does impaired vision contribute to falls?

It reduces depth perception and the ability to see obstacles.

p.25
Risk Factors for Falls

Why is individual physical functioning important in fall risk analysis?

It helps assess the capability of older individuals to maintain balance and mobility.

p.26
Risk Factors for Falls

What are the individual physical functioning aspects related to a person?

Balance, strength and endurance, gait, visual impairment, peripheral sensation, and hearing impairment.

p.3
Prevalence of Elderly Falls

What is a common consequence of falls in the elderly?

Hip fractures are a common and serious consequence of falls in older adults.

p.27
Risk Factors for Falls

How can arthritis affect an individual's risk of falling?

It can cause pain and stiffness, leading to mobility issues.

p.36
Consequences of Falls for the Elderly

What is a significant consequence of falls in the elderly?

Mortality.

p.26
Risk Factors for Falls

Why is strength and endurance important for elderly individuals?

It helps in maintaining mobility and reducing the risk of falls.

p.64
Intervention Strategies for Fall Prevention

What institution conducted the original RCT for the LiFE programme?

University of Sydney in Australia.

p.33
Risk Factors for Falls

What mobility issue can contribute to falls in a hospital setting?

Unable to move from bed to bath without assistance.

p.57
Intervention Strategies for Fall Prevention

What should be repaired indoors to help prevent falls?

Indoor flooring.

p.29
Environmental and Behavioral Factors Affecting Falls

What role do steps and stairs play in fall prevention?

Steps and stairs can be hazardous if not properly designed or maintained.

p.31
Risk Factors for Falls

What physical condition increases the risk of falls?

Low mobility or fragility, including lower extremity weakness and poor grip strength.

p.31
Risk Factors for Falls

How does body weight affect fall risk?

Low body weight increases the risk of falls.

p.1
Educational Interventions and Cognitive Behavioral Approaches

Which university offers the course RS4270?

The Hong Kong Polytechnic University.

p.6
Consequences of Falls for the Elderly

What is the average health system cost per fall injury for people aged 65 years or older in Finland?

US$ 3611.

p.3
Prevalence of Elderly Falls

What is the prevalence of falls among the elderly?

Falls are a common occurrence among the elderly, with a significant percentage experiencing at least one fall each year.

p.20
Risk Factors for Falls

What type of footwear can increase the risk of falls?

Inappropriate footwear.

p.41
Risk Factors for Falls

Why is it important to assess the risk of falls in occupational settings?

To implement appropriate safety measures and reduce the likelihood of falls.

p.64
Intervention Strategies for Fall Prevention

How many training sessions were included in the LiFE programme?

5 training sessions plus 2 booster visits.

p.64
Intervention Strategies for Fall Prevention

What types of exercises are included in the LiFE programme?

14 exercises for improving balance and strength.

p.2
Consequences of Falls for the Elderly

What consequences will you be able to describe for the elderly?

The consequences of falls.

p.30
Environmental and Behavioral Factors Affecting Falls

How can large supermarkets impact the cultural environment?

They require extensive walking and standing in queues.

p.23
Risk Factors for Falls

How does medication use contribute to fall risk?

Certain medications can cause dizziness or drowsiness, increasing fall risk.

p.2
Community Resources and Support for Fall Prevention

What community aspect will you learn more about?

Community resources related to fall prevention.

p.57
Intervention Strategies for Fall Prevention

How can night-time safety be improved to prevent falls?

By adding night-lights.

p.31
Risk Factors for Falls

What age group is considered at higher risk for falls?

Individuals over 65 years.

p.27
Risk Factors for Falls

What types of feet problems can increase fall risk?

Conditions like bunions, plantar fasciitis, or neuropathy.

p.60
Intervention Strategies for Fall Prevention

What type of footwear is suggested for uneven or slippery outdoor surfaces?

Lightly cushioned sneakers.

p.57
Intervention Strategies for Fall Prevention

What type of flooring can provide protection against falls?

Protective flooring (Smart cells).

p.36
Consequences of Falls for the Elderly

What is a common behavioral consequence of falls?

Restricted activity.

p.57
Intervention Strategies for Fall Prevention

What is a recommended treatment for non-slip tile?

Johnny Grip (~$350).

p.21
Risk Factors for Falls

How does living alone affect the elderly?

It can increase the risk of falls due to lack of support.

p.10
Intervention Strategies for Fall Prevention

What impact could effective falls prevention programs have in Hong Kong?

They might reduce falls and fall-related health service utilization by up to 30%.

p.54
Intervention Strategies for Fall Prevention

Which hospitals were involved in the study?

QMH, PMH & PWH and their respective AEDs in Hong Kong.

p.32
Environmental and Behavioral Factors Affecting Falls

What environmental factors related to location can contribute to falls?

Busy streets or elevated walkways.

p.54
Intervention Strategies for Fall Prevention

What was the outcome of one occupational therapy visit after a fall?

It was more effective than a well-wishing visit at reducing future falls at 6 months.

p.27
Risk Factors for Falls

What is orthostatic hypotension?

A condition where blood pressure drops significantly when a person stands up.

p.24
Risk Factors for Falls

How does the Person component of the PEO model relate to fall accidents?

It considers individual factors such as age, health, and mobility.

p.55
Environmental and Behavioral Factors Affecting Falls

What should be removed to reduce fall hazards in the home?

Throw rugs.

p.58
Post-Fall Management

What are post-fall management skills?

Skills used to assess and respond to falls after they occur.

p.13
Local Statistics on Falls in Hong Kong

What is the approximate population of individuals aged 65 or above in Hong Kong?

Around 1.28 million.

p.23
Risk Factors for Falls

What role does vision play in fall risk for the elderly?

Poor vision can lead to misjudgment of distances and obstacles, increasing fall risk.

p.60
Intervention Strategies for Fall Prevention

What is a potential issue with footwear that is too grippy?

It may catch on carpets and floors.

p.64
Intervention Strategies for Fall Prevention

What follow-up method was used in the LiFE programme?

Telephone follow-up.

p.23
Risk Factors for Falls

What physical condition can increase the risk of falls in older adults?

Muscle weakness.

p.55
Environmental and Behavioral Factors Affecting Falls

What should be done to loose rugs to prevent falls?

Secure them.

p.60
Intervention Strategies for Fall Prevention

Who should be consulted for footwear recommendations?

Podiatrists or specialists.

p.29
Environmental and Behavioral Factors Affecting Falls

Why is familiarity with the environment important for fall prevention?

Familiarity can help individuals navigate safely and avoid hazards.

p.30
Environmental and Behavioral Factors Affecting Falls

What is an example of an institutional environment affecting mobility?

Pedestrian crossings.

p.34
Risk Factors for Falls

How does poor lighting contribute to falls in hospitals?

Poor lighting can obscure hazards and make it difficult for patients to navigate safely.

p.15
Risk Factors for Falls

How does age affect the risk of falls?

Older adults often have multiple risk factors that increase fall likelihood.

p.22
Risk Factors for Falls

What condition can cause hemiplegia and poor balance, increasing the likelihood of falls?

Stroke.

p.36
Consequences of Falls for the Elderly

What type of head injury can occur due to falls?

Concussions or other traumatic brain injuries.

p.34
Risk Factors for Falls

What impact does furniture arrangement have on fall risk in hospitals?

Poor furniture arrangement can create obstacles and increase the likelihood of falls.

p.27
Risk Factors for Falls

What role can medication play in fall risk?

Certain medications can cause dizziness or drowsiness, increasing the risk of falls.

p.18
Risk Factors for Falls

What are some modifiable risk factors for falls?

Age, gender, race, chronic illness, physical, cognitive, and affective capacities.

p.57
Intervention Strategies for Fall Prevention

What additional safety feature can be added to bathtubs?

Non-slip stickers.

p.31
Risk Factors for Falls

Which chronic illnesses are associated with an increased risk of falls?

Parkinson disease, visual difficulties, stroke, hypertension, or urinary incontinence.

p.18
Risk Factors for Falls

How do gait changes affect fall risk?

They can increase the risk of falls.

p.30
Environmental and Behavioral Factors Affecting Falls

How does public transportation relate to the institutional environment?

It provides essential mobility options for individuals.

p.19
Environmental and Behavioral Factors Affecting Falls

What is a key characteristic of the environmental factors listed?

They are all modifiable.

p.18
Risk Factors for Falls

How does a history of previous falls affect future fall risk?

It increases the risk by 2 to 3 times.

p.27
Risk Factors for Falls

How does incontinence relate to fall risk?

It may lead to hurried movements to reach the bathroom, increasing fall risk.

p.26
Risk Factors for Falls

How does hearing impairment relate to fall risk?

It can limit awareness of surroundings and potential hazards.

p.57
Intervention Strategies for Fall Prevention

What type of tile should be used in bathrooms to prevent slips?

Non-slip tile.

p.29
Environmental and Behavioral Factors Affecting Falls

What impact does interaction with other people, children, and animals have on fall risk?

Interactions can distract individuals and lead to accidents.

p.31
Risk Factors for Falls

What cognitive condition is a risk factor for falls?

Cognitive impairment or dementia.

p.22
Risk Factors for Falls

Which condition is associated with decreased sensation and weakness, raising fall risk?

Neuropathy.

p.18
Risk Factors for Falls

What impact does vision impairment have on fall risk?

It increases the risk of falls.

p.60
Intervention Strategies for Fall Prevention

What type of footwear is recommended for indoor use?

Nonskid slippers.

p.57
Intervention Strategies for Fall Prevention

What outdoor features should be repaired to prevent falls?

Outdoor pathways and stairs.

p.29
Environmental and Behavioral Factors Affecting Falls

Why is lighting important in preventing falls?

Adequate lighting helps individuals see obstacles and navigate safely.

p.36
Consequences of Falls for the Elderly

How can falls affect a person's confidence?

They can lead to a loss of confidence and fear of falling.

p.34
Risk Factors for Falls

What effect does reduced staffing have on fall risk in hospitals?

Reduced staffing can lead to less supervision and assistance for patients, increasing fall risk.

p.31
Risk Factors for Falls

How does heavy drinking relate to falls?

Heavy drinking is a risk factor for falls.

p.23
Risk Factors for Falls

How does environmental hazards contribute to falls?

Clutter, poor lighting, and uneven surfaces can increase the likelihood of falls.

p.55
Environmental and Behavioral Factors Affecting Falls

What is touch lighting?

Lighting that can be activated by touch, enhancing visibility.

p.26
Risk Factors for Falls

What is the significance of peripheral sensation in fall prevention?

It helps individuals detect changes in their environment and maintain balance.

p.22
Risk Factors for Falls

What disease is characterized by a shuffling gait and bradykinesia, contributing to fall risk?

Parkinson’s disease.

p.29
Environmental and Behavioral Factors Affecting Falls

How can furniture contribute to fall risks?

Poorly arranged or unstable furniture can obstruct pathways and create hazards.

p.31
Risk Factors for Falls

What gait-related issues contribute to fall risk?

Poor gait and balance.

p.29
Environmental and Behavioral Factors Affecting Falls

How does exposure to adverse weather conditions affect fall risk?

Wet, icy, or windy conditions can increase the likelihood of falls.

p.55
Environmental and Behavioral Factors Affecting Falls

What should be removed to create a safer transition between rooms?

Krebs and thresholds.

p.57
Intervention Strategies for Fall Prevention

What safety feature can be installed to assist with fall prevention?

Handrails.

p.34
Risk Factors for Falls

How do unsupervised activities contribute to falls in hospitals?

Unsupervised activities can lead to patients attempting unsafe movements, increasing fall risk.

p.55
Environmental and Behavioral Factors Affecting Falls

Where should grab bars be installed for safety?

Near the toilet and bath.

p.31
Risk Factors for Falls

What previous experience can heighten the risk of future falls?

Having had previous falls.

Study Smarter, Not Harder
Study Smarter, Not Harder