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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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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 |
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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 |
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