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Shared-Medical Appointment for Screening and Risk Assessment for Fall Prevention
Background: The median age of Americans is rising and fall risk increases with age. While the causes of falls are multifactorial, falls risk can be reduced. Only a small percentage of older-adults report being asked about fall risk or falls. The CDC has initiated a Stopping Elderly Accidents, Deaths...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10331223/ https://www.ncbi.nlm.nih.gov/pubmed/37435005 http://dx.doi.org/10.1177/23337214231186460 |
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author | Moran, Ryan Ramirez, Michelle Woods, Gina Hofflich, Heather Wing, MS, David Nichols, Jeanne |
author_facet | Moran, Ryan Ramirez, Michelle Woods, Gina Hofflich, Heather Wing, MS, David Nichols, Jeanne |
author_sort | Moran, Ryan |
collection | PubMed |
description | Background: The median age of Americans is rising and fall risk increases with age. While the causes of falls are multifactorial, falls risk can be reduced. Only a small percentage of older-adults report being asked about fall risk or falls. The CDC has initiated a Stopping Elderly Accidents, Deaths and Injuries (STEADI) toolkit, but penetration into practice has been slow. To address this, we implemented a Falls Prevention Shared Medical Appointment (SMA) at an academic internal medicine clinic. Methods: Patients were referred to the SMA and scheduled per their preference virtually or in-person. Patients attended a nurse visit for appropriate fallrisk related screening, followed by the SMA with two physicians for review of medical history, fall screening results and implementation of fall reduction strategies. Follow-up survey of the patients assessed program effectiveness. Results: Fifty-two patients were seen/assessed between November 2021 and February 2023 with SMAs ranging from 3 to 5 patients with an average age of 77 (=/− 6.7). Questionnaire self-reported risk factors, self-reported strength, and polypharmacy were associated with objective markers of increased fall risk. Survey results indicate acceptability of this model. Conclusion: Falls prevention SMAs can be effective. More work is needed to further delineate and refine cohort selection. |
format | Online Article Text |
id | pubmed-10331223 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-103312232023-07-11 Shared-Medical Appointment for Screening and Risk Assessment for Fall Prevention Moran, Ryan Ramirez, Michelle Woods, Gina Hofflich, Heather Wing, MS, David Nichols, Jeanne Gerontol Geriatr Med Article Background: The median age of Americans is rising and fall risk increases with age. While the causes of falls are multifactorial, falls risk can be reduced. Only a small percentage of older-adults report being asked about fall risk or falls. The CDC has initiated a Stopping Elderly Accidents, Deaths and Injuries (STEADI) toolkit, but penetration into practice has been slow. To address this, we implemented a Falls Prevention Shared Medical Appointment (SMA) at an academic internal medicine clinic. Methods: Patients were referred to the SMA and scheduled per their preference virtually or in-person. Patients attended a nurse visit for appropriate fallrisk related screening, followed by the SMA with two physicians for review of medical history, fall screening results and implementation of fall reduction strategies. Follow-up survey of the patients assessed program effectiveness. Results: Fifty-two patients were seen/assessed between November 2021 and February 2023 with SMAs ranging from 3 to 5 patients with an average age of 77 (=/− 6.7). Questionnaire self-reported risk factors, self-reported strength, and polypharmacy were associated with objective markers of increased fall risk. Survey results indicate acceptability of this model. Conclusion: Falls prevention SMAs can be effective. More work is needed to further delineate and refine cohort selection. SAGE Publications 2023-07-06 /pmc/articles/PMC10331223/ /pubmed/37435005 http://dx.doi.org/10.1177/23337214231186460 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Article Moran, Ryan Ramirez, Michelle Woods, Gina Hofflich, Heather Wing, MS, David Nichols, Jeanne Shared-Medical Appointment for Screening and Risk Assessment for Fall Prevention |
title | Shared-Medical Appointment for Screening and Risk Assessment for Fall Prevention |
title_full | Shared-Medical Appointment for Screening and Risk Assessment for Fall Prevention |
title_fullStr | Shared-Medical Appointment for Screening and Risk Assessment for Fall Prevention |
title_full_unstemmed | Shared-Medical Appointment for Screening and Risk Assessment for Fall Prevention |
title_short | Shared-Medical Appointment for Screening and Risk Assessment for Fall Prevention |
title_sort | shared-medical appointment for screening and risk assessment for fall prevention |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10331223/ https://www.ncbi.nlm.nih.gov/pubmed/37435005 http://dx.doi.org/10.1177/23337214231186460 |
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