• Open Access

Why do hospitalized older adults take risks that may lead to falls?

Authors

  • Terry P Haines PhD G Cert Health Economics B Physiotherapy (Hons),

    Associate Professor, Corresponding author
    1. Allied Health Research Unit, Southern Health & Monash University, Cheltenham, Vic.
    • Correspondence

      Terry P Haines PhD, G Cert Health Economics, B Physiotherapy (Hons)

      Associate Professor

      Allied Health Research Unit

      Kingston Centre

      Kingston Rd

      Cheltenham

      Vic. 3192

      Australia

      E-mail: terrence.haines@monash.edu

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  • Den-Ching Angel Lee B Applied Science (Physiotherapy) G Dip Occupational and Environmental Health,

    1. Allied Health Research Unit, Southern Health & Monash University, Cheltenham, Vic.
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  • Beverly O'Connell RN PhD FRCNA,

    1. Faculty of Health, School of Nursing and Midwifery, Southern Health Nursing Research Centre, Deakin University, Clayton
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  • Fiona McDermott BA Dip Soc Studs M Urban Planning PhD,

    1. Southern Health & Department of Social Work, Monash University, Clayton
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  • Tammy Hoffmann Bachelor of Occupational Therapy (Hons) PhD

    Clinical Epidemiologist
    1. Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Australia
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Abstract

Background

The behaviour of hospitalized older adults can contribute to falls, a common adverse event during and after hospitalization.

Objective

To understand why older adults take risks that may lead to falls in the hospital setting and in the transition period following discharge home.

Design

Qualitative research.

Setting and participants

Hospital patients from inpatient medical and rehabilitation wards (= 16), their informal caregivers (= 8), and health professionals (= 33) recruited from Southern Health hospital facilities, Victoria, Australia.

Main variables studied

Perceived motivations for, and factors contributing to risk taking that may lead to falls.

Main outcome measures

Semi-structured, in depth interviews and focus groups were used to generate qualitative data. Interviews were conducted both 2 weeks post-hospitalization and 3 months post-hospitalization.

Results

Risk taking was classified as; (i) enforced (ii) voluntary and informed and (iii) voluntary and mal informed. Five key factors that influence risk taking behaviour were (i) risk compensation ability of the older adult, (ii) willingness to ask for help, (iii) older adult desire to test their physical boundaries, (iv) communication failure between and within older adults, informal care givers and health professionals and (v) delayed provision of help.

Discussion and Conclusion

Tension exists between taking risks as a part of rehabilitation and the effect it has on likelihood of falling. Health professionals and caregivers played a central role in mitigating unnecessary risk taking, though some older adults appear more likely to take risks than others by virtue of their attitudes.

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