Proposal For An Evidence-Based Physiotherapy Programme To Promote Health And Well-Being Of Older People Living In Nursing And Residential Care
Creators: name: Qasem, Mohammad
Publisher: name: Zenodo
Year: 2013
Subjects: Physiotherapy
quality of life
older people
Falls
Well-Being
Programme
Exercise

description: Government agenda in recent years has included recognition that more needs to be done to improve the quality of life of older people living in the UK. There are certain problems specific to this group which jeopardise their quality of life, including risk of falls. Falls are associated with significant risk of mortality and morbidity. Therefore it is in the interests of the individuals and wider society to reduce their incidence. This proposal describes an evidence-based therapy programme which is aimed at reducing the risk of falls in older people living in residential home care, as this group is at an even higher risk of falls. The proposed programme would be delivered by a physiotherapist and would include assessment of frailty, gait and balance to identify those who would benefit. The programme itself would be delivered in small groups, piloted first in one local residential home, and would be based on strength and balance training, focusing on the ankle muscles, as weakness in these muscles has been shown to be the main source of falls risk in older adults. A critical evaluation plan for the project is also described.
description: {"references": ["Age UK (2012) Agenda for Later Life 2012: Policy Priorities for Active Ageing. London: Age UK.", "Cameron, I.D., Murray, G.R., Gillespie, L.D., Robertson, M.C., Hill, K.D., Cumming, R.G. and Kerse, N. (2010). \u2018Interventions for preventing falls in older people in nursing care facilities and hospitals,\u2019 Cochrane Database of Systematic Reviews, 1, CD005465.", "CPA (2013). Policies on Ageing. Centre for Policy on Ageing. Available from: http://www.cpa.org.uk/cpa/policies_on_ageing.html (Accessed 30 March 2013).", "Deandrea, S., Lucenteforte, E., Bravi, F., Foschi, R., Le Vecchia, C. and Negri, E. (2010). \u2018Risk factors for falls in community-dwelling older people: A systematic review and meta-analysis,\u2019 Epidemiology, 21(5), pp. 658-668.", "DH (2001). National Service Framework for Older People. London: Department of Health.", "Fahey, T., Montgomery, A.A., Barnes, J. and Protheroe, J. (2003). \u2018Quality of care for elderly residents in nursing homes and elderly people living at home: Controlled observational study,\u2019 BMJ, 326, p. 580.", "HESonline\u2122 (2013). HES on\u2026Falls. Available at: http://www.hesonline.nhs.uk/Ease/servlet/ContentServer?siteID=1937&amp;categoryID=1071 (Accessed 30 March 2013).", "Lothian, K. and Philp, I. (2001). \u2018Maintaining the dignity and autonomy of older people in the healthcare setting,\u2019 BMJ, 322(7287), pp. 668-670.", "McClure, R.J., Turner, C., Peel, N., Spinks, A., Eakin, E. and Hughes, K. (2008). \u2018Population-based programmes for the prevention of fall-related injuries in older people,\u2019 Cochrane Database of Systematic Reviews, 1, CD004441.", "NHS Institute for Innovation and Improvement (2013). Care Homes Programme. Available at: http://www.institute.nhs.uk/care_homes/_programme/an_overview.html (Accessed 30 March 2013).", "Nurmi, I. and Luthje, P. (2002). \u2018Incidence and costs of falls and falls injuries among elderly in institutional care,\u2019 Scandinavian Journal of Primary Health Care, 20(2), pp. 118-122.", "Office of Fair Trading. (2005). Care Homes for Older People in the UK: A Market Study. Available at: http://www.oft.gov.uk/shared_oft/reports/consumer_protection/oft780.pdf (Accessed 01 April 2013).", "RCN (2004). Clinical Practice Guideline for the Assessment and Prevention of Falls in Older People: Guidelines Commissioned by the National Institute for Clinical Excellence (NICE). London: Royal College of Nursing.", "Ross, T. (2012). \u2018Care Quality Commission: Elderly denied dignity and respect,\u2019 The Telegraph. 23 November 2012. Available from: http://www.telegraph.co.uk/health/elderhealth/9697394/Care-Quality-Commission-Elderly-denied-dignity-and-respect.html (Accessed 30 March 2013).", "Spoelestra, S.L., Given, B., You, M. and Given, C.W. (2011). \u2018The contribution falls have to increasing risk of nursing home placement in community-dwelling older adults,\u2019 Clinical Nursing Research, 21(1), pp. 24-42.", "Stenvall, M., Olofsson, B., Lundstrom, M., Englund, U., Borssen, B., Svensson, O., Nyberg, L. and Gustafson, Y. (2007). \u2018A multidisciplinary, multifactorial intervention program reduces postoperative falls and injuries after femoral neck fracture,\u2019 Osteoporosis International, 18, pp. 167-175.", "Whitney, J., Close, J.C.T., Jackson, S.H.D. and Lord, S.R. (2012). \u2018Understanding risk of falls in people with cognitive impairment living in residential care,\u2019 JAMDA, 13(6), pp. 535-540.", "WHO (2012). Good Health Adds Life to Years. Geneva: World Health Organization."]}