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Falls

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Fall Reduction Strategies For Older Community Dwelling Americans, Heather L. Roach Nov 2022

Fall Reduction Strategies For Older Community Dwelling Americans, Heather L. Roach

Master of Public Health Capstone Presentations

Each year millions of older adults fall, and one out of five falls result in an injury that requires medical attention. In 2015 medical costs associated with falls was over $50 billion. Falls and specifically fall related injury in the older American population is a public health burden. There are many modalities that are implemented to reduce falls including management of underlying medical conditions, exercise regimens, supplementation, medication modifications, and home modifications. This project worked to identify which modalities had the greatest impact on falls. The goal of the information obtained is to inform practitioners and public health professionals that …

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Falls, Fall Sequale, And Healthcare In Aging Community Dwelling Elderly Cancer Survivors, Sandra Spoelstra Dec 2009

Falls, Fall Sequale, And Healthcare In Aging Community Dwelling Elderly Cancer Survivors, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

The influence of cancer on elderly is examined in a Home and Community Based Waiver program during 2002-2007. A comparison of with cancer (865) to without cancer (8617) on falls, fractures and healthcare use occurred. Data were obtained from Minimum Data Set assessments, vital records, and claims. Mean age was 77.1 years, 67.8% female, 74.0% Caucasian. Cancers was 92.7% > stage 2. Falls were 35.9% (304) with cancer and 25.3% (2,174) with non-cancer, a significant difference (p-value 0.01); hip fractures were 4.6% (38) and 5.3% (449) p-value 0.38; service use: ER 35.4% (295) to 22.2% (1904) and hospitalization 13.1% (109) …

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The Influence Of Cancer On Falls In Community Dwelling Elderly, Sandra Spoelstra Dec 2008

The Influence Of Cancer On Falls In Community Dwelling Elderly, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Cancer survivors are living longer, and encounter physical, psychosocial, and economic impacts until the end of life. However studies examining whether a cancer diagnosis alters the rate of falls in elderly survivors are rare. This retrospective, longitudinal cohort study examined community dwelling elderly in a home based waiver program to identify if individuals with a diagnosis of cancer experience falls at a higher rate than those without cancer. The Minimum Data Set in a State in the Midwest was used to examine cancer, age, gender, race and ethnicity, poor vision, reduced ADLs, reduced IADLS, cognitive skill, incontinence, pain, or depression …

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