M. Butler et al., PREVENTING FALLS AND FALL-RELATED INJURIES AMONG OLDER-PEOPLE LIVING IN INSTITUTIONS - CURRENT PRACTICE AND FUTURE OPPORTUNITIES, New Zealand medical journal, 111(1074), 1998, pp. 359-361
Aims. To identify existing falls prevention activities and support for
future initiatives among residential institutions for older people. M
ethods. A self-administered questionnaire was sent to all principal nu
rses/managers of residential institutions. Information was sought on w
hether falls were perceived to be a problem in the Auckland region, cu
rrent falls prevention practice and interest in future prevention init
iatives. Results. Falls were perceived to be a problem by over 75% of
175 participating institutions. Assessments of footwear, medication us
e and environmental audits were the most common prevention strategies
employed by over 80% of institutions. Almost 70% of institutions indic
ated their willingness to participate in future prevention projects. C
onclusion. The current use of fall prevention strategies in institutio
ns is encouraging. However, the strategies that are being employed are
not consistent with current evidence about effectiveness. Increased u
se of vitamin D and possibly calcium supplementation needs to be encou
raged as does the use of hip protectors a:nd lower extremity strength
training.