17 Jun WRITE A PAPER (1,500-2,000 WORDS) IN WHICH YOU ANALYZE AND APPRAISE EACH OF THE (15) ARTICLES IDENTIFIED IN TOPIC 1.
Write a paper (1,500-2,000 words) in which you analyze and appraise each of the (15) articles identified in Topic 1. Pay particular attention to evidence that supports the problem, issue, or deficit, and your proposed solution.
Hint: The Topic 2 readings provide appraisal questions that will assist you to efficiently and effectively analyze each article.
Refer to “Sample Format for Review of Literature,” “RefWorks,” and “Topic 2: Checklist.”
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Sources Supporting Fall Reduction and Prevention
Name
University Affiliation
Date
In this paper, there are fifteen-article journal appraisal, which focuses on the fall reduction and prevention among the older people. Falls cause fatal and non-fatal injuries to the older community members in America. This threatens their safety and as well leads to both personal and economic costs.
Sartini M, Cristina ML, Spagnolo AM, et al. The epidemiology of domestic injurious falls in a community dwelling elderly population: an outgrowing economic burden. Eur J Public Health 2010; 20:604–6.
1. The objective of this study was evaluating the epidemiology of fall that results to injuries among the dwelling population of a community.
2. The research found that more than three-million people in Italy, most of them being the elderly sustain a domestic injury annually.
3. Basing on the perspective of a healthcare, elderly falls are a significant clinical issue posing an outgrowing socioeconomic liability.
4. This article suggests the necessary steps that ought to be taken to prevent falls in the older adults.
Nitz JC, Low Choy NL. Falling is not just for older women: support for pre-emptive prevention intervention before 60. Climacteric 2011; 11:461–6.
1. The objective of this study is identifying factors, which are likely to predict a fall in an elderly woman. The study tries to provide evidence of earlier falls as well as requirement for morbidity preventive interference.
2. In this study, it was found that about forty percent of women in their 70s had fallen at least once in the twelve months.
3. Women forty years and above had increased risk of falling due to the number of co-morbidities.
4. Problem is preventive program participations is vital in preventing falls, as it helps in maintaining good health.
Sterling DA, O’Connor JA, Bonadies J. Geriatric falls: injury severity is high and disproportionate to mechanism. J Trauma Acute Care Surg 2011; 50:116–9.
1. This study aims at exploring the connection between the pattern, mechanism of fall and the severity of injury in the older patients as compare to the younger ones.
2. The trauma registry was inquired for all patients who had been evaluated by the trauma service for the past 12 years. This allowed for in-depth statistics about the severity of injuries and deaths that had occurred so far.
3. The study note that the older people were more likely to die out of falls as compared to young people. As well, falls resulted to less serious injuries to the young people as compared to the old.
4. A different pattern of injuries was noted between younger and older patients
Spink MJ, Menz HB, Fotoohabadi MR, et al. Effectiveness of a multifaceted podiatry intervention to prevent falls in community dwelling older people with disabling foot pain:randomised controlled trial.BMJ 2011;342:d3411.
1. The main objective of this study is determining the prevalence of wrong prescribing to the people living in Tasmanian, Australia.
2. The medical conditions, medications and the demographics of the patients were gathered from the medical records.
3. About thirty-five percent of the total patients were identified by beer criteria, and there were being prescribed the wrong medications.
4. Wrong prescribing is common in many Tasmanian nursing homes. A better guide in prescription can help solve the problem at hand.
Gillespie WJ, Gillespie LD, Parker MJ. Hip protectors for preventing hip fractures in older people. Cochrane Database Syst Rev 2010(10):CD001255.
1. This study determines whether hip protectors (external) help in reducing the frequency of hip fracture in aged persons when they fall.
2. A cross-sectional study was carried out from the Cochrane Bone, The Cochrane Library 2010.Another study was carried out from Joint and Muscle Trauma group Specialized Registry (January 2010).
3. Statistically, evidence of vital impact on the incidence of pelvic or hip fracture was not found. There were no important negative impacts of hip protectors.
4. Although is not very clear whether hip protectors reduces incidences of hip fractures, this study shows that if they can be available to frail old people in nursing homes, they (hip protectors) can be helpful.
Stafford AC, Alswayan MS, Tenni PC. Inappropriate prescribing in older residents of Australian care homes. J Clinical Pharm Ther 2011; 36:33–44.
1. The aim of this study is determining the usefulness of multifaceted podiatry interference in thwarting falls in a community where older people with incapacitating foot pain dwell.
2. A Cross-sectional study was carried out from the University health sciences clinic in Melbourne, Australia.
3. Overall, about 264 falls were reported to occur during the study.
4. The study has revealed that intervention of multifaceted podiatry leads to reduced rate of falls in a community with older people.
Muir SW, Gopaul K, Montero Odasso MM. The role of cognitive impairment in fall risk among older adults: a systematic review and meta-analysis. Age Ageing 2012; 41:299–308.
1. The objective of this study is reviewing the role of cognitive injury in fall risk amongst the old people.
2. A cross-sectional study was carried out through organized searches of the automated database of Embase, Medline; PshchINFO (2009).
3. On global measures, impairment of cognition was linked with any fall, grave injuries and distal radius breakages in a community of senior citizens.
4. The procedure used in defining the type of fall results and cogitative impairment are both significant when quantifying risk.
Chase CA, Mann K, Wasek S, Arbesman M. Systematic review of the effect of home modification and fall prevention programs on falls and the performance of community-dwelling older adults. Am J Occup Ther 2012; 66:284–91?
1. This study aims at review the impact of fall preventive programs.
2. A study was conducted as part of the American Occupational Therapy Association’s Evidence-Based Practice Project. There was analyzing and synthesizing of about 33 articles.
3. Very encouraging results were found from multifactorial programs, which included home modifications, home evaluations, education, and exercise.
4. This study revealed that there was a positive result, which included increased bodily factors such as balance and strength, decreased fear of falling and rate of fictional decline.
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. New South Wales Public Health Bulletin 2011; 22:78–83.
1. The intention of this article is reviewing the exercise to avert falls in older people
2. The study has revealed that a single exercise intervention is capable of preventing falls at a rate of about ninety-five percent.
3. Additionally, the study recommended that that fall prevention exercise target everyone in the community and not only those with a high risk of falling.
4. This article supports the idea of exercise as a way of preventing falls to both young and older adults.
Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. J Am Geriatric Soc 2011; 59:148–57
1. The aim of this article is reviewing the benefits as well as the harms, which could be utilized by primary health care practitioners to avert falling amongst community-dwelling aged people.
2. The study has shown that evaluating physical therapy and exercise, can lead to reduced falling.
3. It is clear in this study that methods, and interferences of fall ascertainment were diverse.
4. This article acknowledges that basic care-relevant interventions are capable of reducing falls amongst community-dwelling older people.
Michael YL, Whitlock EP, Lin JS, Fu R, O’Connor EA, Gold R. Primary care-relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. Preventive Services Task Force. Ann Intern Med 2010; 153:815–25.
1. This article reviews the clinical practice parameter for preventing of falls in older people.
2. A cross-sectional study was carried out and data was collected using the American Geriatrics Society/British Geriatrics Society Clinical Guideline for Prevention of falls in Order Adults (2010)
3. This article offers more discussion on the guideline process and the variances between the present guidelines and the version of the year 2001.
4. This article is for the idea that guidelines should be put in place to ensure fall prevention.
Cameron ID, Murray GR, Gillespie LD, et al. Interventions for preventing falls in older people in nursing care facilities and hospitals. Cochrane Database Syst Rev 2010(1):CD005465
1. The aim of this article is assessing the efficiency of intervention that is intended to reduce falls by older adults in hospitals and nursing care facilities.
2. Two authors independently reviewed and accessed trial quality, and they extracted data.
3. The results from nursing care facilities, from seven trials analysis, supervised exercise interference were not consistent
4. This article provides evidence that multifactorial interferences reduce the risk of falling and falling in nursing care facilities and hospitals.
Thomas S, Mackintosh S, Halbert J. Does the ‘Otago Exercise Programme’ reduce mortality and falls in older adults?: a systematic review and meta-analysis. Age Ageing 2010; 39:681–7.
1. This study aims at reduction of mortality and falls in aged people.
2. The data in this study was from seven trials involving over 1500 patients. The trials revealed that the OEP essentially reduced death risks.
3. According to a systematic review carried out, with meta-analysis, the number of injurious falls, the number of falls, and risk of death is in agreement with the exercise program.
4. This article shows that OEP essentially reduces falling as well as death risks in older adults.
Deandrea S, Lucenteforte E, Bravi F, Foschi R, La Vecchia C, Negri E. Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiol 2010; 21:658–68.
1. This study aims at reviewing the risk factors contributing to falls in older adults.
2. A cross-sectional study was carried out using MEDLINE reviews in order to acquire the data.
3. To get this data, seventy-four studies were reviewed. The study however, showed substantial heterogeneity.
4. This article shows that the meta-analysis used provide a complete evidence-based valuations of risk factors in older adults.
Sanders KM, Stuart AL, Williamson EJ, et al. Annual high-dose oral vitamin D and falls and fractures in older women: a randomized controlled trial. JAMA 2010; 303:1815–22.
1. The main aim of this study is determining whether UI cholecalciferol orally administered to the older people would reduce the risk of fracture and falling.
2. A study that was carried out among 2256 community –dwelling older women of age 70 and above were considered to be at high risk of falling and fracture.
3. Monthly calendars were used in ascertaining falls and fractures.
4. This article shows that annual administration of oral doses of cholecalciferol led to increased risk of fractures and fall.
Conclusion
In conclusion, it is true to say that falls are not unavoidable effect of aging.By practical adjustments in lifestyle as well as clinical-community organizations, the number of falls amongst the aged can be reduced substantially.
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