La prevención de caídas recurrentes en el paciente anciano
- Miriam Bella Beorlegui 1
- Nuria Esandi Larramendi 1
- Ana Carvajal Valcárcel 1
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1
Universidad de Navarra
info
ISSN: 1134-928X
Datum der Publikation: 2017
Ausgabe: 28
Nummer: 1
Seiten: 25-29
Art: Artikel
Andere Publikationen in: Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica
Zusammenfassung
Falls are “involuntary events that make people lose balance and fall to the ground without any Surface to stop it”. Recurrent falls (two or more falls produced in a year) are a frequent problem in geriatrics that predisposes elderly people to inability, dependence, and to suffer many diseases. Prevention measures can decrease the incidence of accidental falls. The aim of this paper is to learn nursing interventions that help preventing new falls and psychological impact in elderly people. To do this, a clinical case is developed. After analysing scientific evidence we propose interventions to prevent falls consequences. The analysis is divided into two sections: fall risk assessment, and interventions to prevent falls. The literature reflects that the valuation of the risk of falling is important to make care interventions. Knowing intrinsic and extrinsic risk factors help us designing these interventions. Literature also reflects that falls produce emotional impact, and it proposes some measures to identify and prevent them. In conclusion, the revision reflects the importance of doing a good nursing assessment to elderly people, using different instruments to detect intervention focuses. This research concludes with the necessity of protocolize the valuation of risk of falling, according to de physical and the emotional aspects, to individualize it to patients.
Bibliographische Referenzen
- American Geriatrics Society, British Geriatrics Society. Clinical practice guidelines: prevention of falls in older persons. [Internet]. New York, NY: American Geriatrics Society; 2010. [Acceso el 19 de enero de 2016]. Disponible en: http://www.americangeriatrics.org
- Barry E, Galvin R, Keogh C, Horgan F, Fahey T. Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta-analysis. BMC Geriatr. 2014;14(1):14.
- Brundle C, Waterman HA, Ballinger C, Olleveant N, Skelton DA, Stanford P, et al. The causes of falls: views of older people with visual impairment. Health Expectations. 2015;18(6):2021-31.
- Central de Enfermeras. Escala Tinetti. [Internet]. [Acceso el 23 de febrero de 2016]. Disponible en: http://www.centraldeenfermeras.com.mx/index.php/noticias/297-escala-de-tinetti.html
- Curcio CL, Gómez F, Osorio JL, Rosso V. Caídas recurrentes en ancianos. Acta Médica Colombiana. 2009;34(3):103-10.
- Del Rocío Almazán-Castillo M, Jiménez-Sánchez J. Escala de valoración de riesgo de caídas en pacientes hospitalizados. Rev Enferm Inst Mex Seguro Soc. 2013;21(1):9-14.
- Delbaere K, Close JC, Taylor M, Wesson J, Lord SR. Validation of the Iconographical Falls Efficacy Scale in cognitively impaired older people. J Gerontol A Biol Sci Med Sci. 2013;68(9):1098-102.
- Dewan N, MacDermid JC. Fall Efficacy Scale International (FES-I). J Physiother. 2014;60(1):60.
- Dirección enfermera. Protocolo general de caídas [Internet]. Hospital universitario Ramón y Cajal; 2005. [Acceso el 12 de febrero de 2011]. Disponible en: http://www.madrid.org/cs/Satellite?blobcol=urldata&blobheader=application/pdf&blobkey=id&blobtable=MungoBlobs&blobwhere=1202756185662&ssbinary=true
- Fielding SJ, McKay M, Hyrkas K. Testing the reliability of the Fall Risk Screening Tool in an elderly ambulatory population. J Nurs Manag. 2013;21(8):1008-15.
- Galán Cabello CM, Trinidad Trinidad D, Ramos Cordero P, Gómez Fernández JP, Alastruey Ruiz JG, Onrubia Pecharroman A, et al. Uso de sujeciones físicas en una población anciana ingresada en residencias públicas. Rev Esp Geriatr Gerontol. 2008;43(4):208-13.
- Hill E, Fauerbach L. Falls and fall prevention in older adults. J Legal Nurse Consulting. 2014;25(2):25-9.
- Index predicts functional decline regardless of fall experiences among community-dwelling elderly. Geriatr Gerontol Int. 2012;12(4):659-66
- Jeon MY, Jeong H, Petrofsky J, Lee H, Yim J. Effects of a randomized controlled recurrent fall prevention program on risk factors for falls in frail elderly living at home in rural communities. Med Sci Monit. 2014;20:2283-91.
- Karlsson MK, Vonschewelov T, Karlsson C, Coster M, Rosengen BE. Prevention of falls in the elderly: a review. Scand J Public Health. 2013;41(5):442-54.
- Lachman ME, Howland J, Tennstedt S, Jette A, Assmann S, Peterson EW. Fear of falling and activity restriction: the survey of activities and fear of falling in the elderly (SAFE). J Gerontol B. Psychol Sci Soc Sci. 1998;53(1):P43-P50.
- Liu YWJ, Tsui CM. A randomized trial comparing Tai Chi with and without cognitive-behavioral intervention (CBI) to reduce fear of falling in community-dwelling elderly people. Arch Gerontol Geriatr. 2014;59(2):317-25.
- Meléndez-Moral JC, Garzón-Soler T, Sales-Galán A, Mayordomo-Rodríguez T. Efectividad de una intervención para reducir el miedo a caer en las personas mayores. Aquichán. 2014;14(2):207-15.
- Moncada LV. Management of falls in older persons: a prescription for prevention. Am Fam Physician. 2011;84(11):1267-76.
- Mota Sousa LM, Alves Marques-Vieira CM, Guimarães Nogueira de Caldevilla MN, Alves Dias Henriques CM, Pedro Severino SS, Caldeira S. Instrumentos para evaluación del riesgo de caídas en los ancianos residentes en la comunidad. Enfermería Global. 2016;15(2) 506-521.
- OMS: Organización Mundial de la Salud. Caídas. [Internet]. 2012. [Acceso el 16 de enero de 2016]. Disponible en: http://www.who.int/mediacentre/factsheets/fs344/es/
- Pfortmueller C, Lindner G, Exadaktylos A. Reducing fall risk in the elderly: risk factors and fall prevention, a systematic review. Minerva Med. 2014;105(4):275-81.
- ProFANE: Prevention of Falls network Europe [Internet]; 2011. [Acceso el 13 de enero de 2017]. Disponible en: http://www.profane.eu.org/
- Rodríguez Guevara C, Lugo LH. Validez y confiabilidad de la Escala de Tinetti para población colombiana. Revista Colombiana de Reumatología. 2012;19(4):218-233.
- Sherrington C, Tiedemann A, Fairhall N, Close JC, Lord SR. Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations. N S W Public Health Bull. 2011;22:78-83.
- Stastny BM, Newton RA, Viggiano LoCascio L, Bedio N, Lauke C, Conroy M, et al. The ABC scale and fall risk: A systematic review. Phys Occup Ther Geriatr. 2011;29(3):233-42.
- Tomita M, Saharan S, Rajendran S, Nochajski S, Schweitzer J. Psychometrics of the Home Safety Self-Assessment Tool (HSSAT) to Prevent Falls in Community Dwelling Older Adults. Am J Occup Ther. 2014;68(6):711-8.
- Torres Egea MP, Sánchez Castillo PD. Eficacia de las intervenciones de prevención de caídas en pacientes geriátricos institucionalizados. Revisión sistemática y meta-análisis. Nursing. 2007;25(2):56-64.
- Tromp AM, Pluijm SM, Smit JH, Deeg DJ, Bouter LM, Lips P. Fall risk screening test: a prospective study on predictors for falls in community-dwelling elderly. J Clin Epidemiol. 2001;54(8):837-44.
- Vu T, Mackenzie L. The inter-rater and test-retest reliability of the Home Falls and Accidents Screening Tool. Aust Occup Ther J 2012;59(3):235-42.