Disparity between perceived and physiological risks of falling among older patients in an acute care hospital

Applied Nursing Research : ANR
Mei Ling LimVioleta Lopez

Abstract

Falls are the most frequent adverse events among hospitalised older adults. Previous studies highlighted that older adults might not understand the risk factors associated with falls and may have an altered perception of their actual risk. To describe differences between perceived and actual physiological risk of falling among older adults and to explore factors associated with the differences. A prospective cohort study was done. Older adults (age 65 years and above) were interviewed one-to-one at bedside. Morse Fall Scale (MFS) and other risk factors for falls were used to identify the patients' physiological fall risks. Patients' perceived risk of falls were assessed using the Falls Efficacy Scale-International (FES-I). Three hundred patients were recruited. Patients' mean age was 75.3 (SD = ± 6.2). Majority were males (51.7%), lived with others (91.7%), and had received primary school education (35.3%). Based on the MFS, most patients had moderate fall risk (59.7%). Using the FES-I, more than half the patients (59%) interviewed had high concerns about falling. About one-third of the patients' (31.3%) perceived risk matched with their physiological fall risk (Risk-Aware). Half of the patients' perceived risks was higher than...Continue Reading

Citations

Jun 20, 2020·Oncology Nursing Forum·K Renee TwibellGena Coers
Oct 6, 2020·Journal of Alzheimer's Disease : JAD·Klaus HauerIlona Dutzi
Nov 18, 2021·Journal of Clinical Nursing·Hanne DolanRuth Taylor-Piliae

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