Cargando…

The Lived Experience of Healthcare Workers in Preventing Falls in Community Dwelling Individuals with Dementia

Older adults living with dementia have at least twice the risk of falling compared to their peers living without cognitive impairment. There is evidence for the effectiveness of standard interventions in falls prevention in community dwellings, but they may not translate to individuals with Mild Cog...

Descripción completa

Detalles Bibliográficos
Autores principales: Felton, Nansi, Deave, Toity
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9601408/
https://www.ncbi.nlm.nih.gov/pubmed/36286216
http://dx.doi.org/10.3390/geriatrics7050113
_version_ 1784817057845477376
author Felton, Nansi
Deave, Toity
author_facet Felton, Nansi
Deave, Toity
author_sort Felton, Nansi
collection PubMed
description Older adults living with dementia have at least twice the risk of falling compared to their peers living without cognitive impairment. There is evidence for the effectiveness of standard interventions in falls prevention in community dwellings, but they may not translate to individuals with Mild Cognitive Impairment (MCI) or dementia. A qualitative enquiry, adopting an interpretive research design underpinned by a phenomenological approach using semi-structured interviews with four healthcare workers from the field was adopted. Data were analysed using Interpretive Phenomenological Analysis to identify themes. Four major themes were developed: on-going assessment is important in guiding interventions and influencing change, knowledge and experience informs practice, individuals living with dementia have complex physical and cognitive needs, and teamwork is essential in falls prevention strategies, which highlighted falls prevention in this context being multifactorial and complex. The findings found that combining physical and cognitive strategies as part of falls prevention has potential benefits for this population, including reducing falls risks and maintaining function. Targeted training and awareness raising within a supportive multi-disciplinary team structure is required, underpinned by on-going, person-centred assessments.
format Online
Article
Text
id pubmed-9601408
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-96014082022-10-27 The Lived Experience of Healthcare Workers in Preventing Falls in Community Dwelling Individuals with Dementia Felton, Nansi Deave, Toity Geriatrics (Basel) Article Older adults living with dementia have at least twice the risk of falling compared to their peers living without cognitive impairment. There is evidence for the effectiveness of standard interventions in falls prevention in community dwellings, but they may not translate to individuals with Mild Cognitive Impairment (MCI) or dementia. A qualitative enquiry, adopting an interpretive research design underpinned by a phenomenological approach using semi-structured interviews with four healthcare workers from the field was adopted. Data were analysed using Interpretive Phenomenological Analysis to identify themes. Four major themes were developed: on-going assessment is important in guiding interventions and influencing change, knowledge and experience informs practice, individuals living with dementia have complex physical and cognitive needs, and teamwork is essential in falls prevention strategies, which highlighted falls prevention in this context being multifactorial and complex. The findings found that combining physical and cognitive strategies as part of falls prevention has potential benefits for this population, including reducing falls risks and maintaining function. Targeted training and awareness raising within a supportive multi-disciplinary team structure is required, underpinned by on-going, person-centred assessments. MDPI 2022-10-07 /pmc/articles/PMC9601408/ /pubmed/36286216 http://dx.doi.org/10.3390/geriatrics7050113 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Felton, Nansi
Deave, Toity
The Lived Experience of Healthcare Workers in Preventing Falls in Community Dwelling Individuals with Dementia
title The Lived Experience of Healthcare Workers in Preventing Falls in Community Dwelling Individuals with Dementia
title_full The Lived Experience of Healthcare Workers in Preventing Falls in Community Dwelling Individuals with Dementia
title_fullStr The Lived Experience of Healthcare Workers in Preventing Falls in Community Dwelling Individuals with Dementia
title_full_unstemmed The Lived Experience of Healthcare Workers in Preventing Falls in Community Dwelling Individuals with Dementia
title_short The Lived Experience of Healthcare Workers in Preventing Falls in Community Dwelling Individuals with Dementia
title_sort lived experience of healthcare workers in preventing falls in community dwelling individuals with dementia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9601408/
https://www.ncbi.nlm.nih.gov/pubmed/36286216
http://dx.doi.org/10.3390/geriatrics7050113
work_keys_str_mv AT feltonnansi thelivedexperienceofhealthcareworkersinpreventingfallsincommunitydwellingindividualswithdementia
AT deavetoity thelivedexperienceofhealthcareworkersinpreventingfallsincommunitydwellingindividualswithdementia
AT feltonnansi livedexperienceofhealthcareworkersinpreventingfallsincommunitydwellingindividualswithdementia
AT deavetoity livedexperienceofhealthcareworkersinpreventingfallsincommunitydwellingindividualswithdementia