Biomaterial Database

A challenge--fall risk management without restraints. 1990

A M MacIsaac

VA Medical Center, Buffalo, NY 14215.

This report is a position paper based on anecdotal data and actual observations. The paper's intent is to describe an effective collaborative and viable approach to fall risk management in an elderly population. The use of restraints is discouraged. The setting is an Adult Day Health Care Program at the Veterans Administration Medical Center in Buffalo, New York. The program was established as a medical model Adult Day Health Care Program in April 1987 as an alternative for long-term care for elderly veteran patients. The author of this paper was the Co-Coordinator and Nurse Practitioner for the program while the data and observations presented in the paper were collected and made.

UI	MeSH Term	Description	Entries
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D012149	Restraint, Physical	Use of a device for the purpose of controlling movement of all or part of the body. Splinting and casting are FRACTURE FIXATION.	Immobilization, Physical,Physical Restraint,Physical Immobilization,Physical Restraints,Restraints, Physical
D003631	Day Care, Medical	Institutional health care of patients during the day. The patients return home at night.	Day Care,Hospitalization, Partial,Care, Day,Medical Day Care,Partial Hospitalization
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000058	Accidental Falls	Falls due to slipping or tripping which may result in injury.	Falls, Accidental,Falling,Falls,Slip and Fall,Accidental Fall,Fall and Slip,Fall, Accidental
D000368	Aged	A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available.	Elderly
D000369	Aged, 80 and over	Persons 80 years of age and older.	Oldest Old
D012307	Risk Factors	An aspect of personal behavior or lifestyle, environmental exposure, inborn or inherited characteristic, which, based on epidemiological evidence, is known to be associated with a health-related condition considered important to prevent.	Health Correlates,Risk Factor Scores,Risk Scores,Social Risk Factors,Population at Risk,Populations at Risk,Correlates, Health,Factor, Risk,Factor, Social Risk,Factors, Social Risk,Risk Factor,Risk Factor Score,Risk Factor, Social,Risk Factors, Social,Risk Score,Score, Risk,Score, Risk Factor,Social Risk Factor
D016330	Frail Elderly	Older adults or aged individuals who are lacking in general strength and are unusually susceptible to disease or to other infirmity.	Elderly, Frail,Frail Older Adults,Functionally-Impaired Elderly,Frail Elders,Adult, Frail Older,Adults, Frail Older,Elder, Frail,Elderly, Functionally-Impaired,Elders, Frail,Frail Elder,Frail Older Adult,Functionally Impaired Elderly,Older Adult, Frail,Older Adults, Frail