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Falls among the elderly population in the hospital setting
Falls in older adults as a problem statement in APHA
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Functionality means individual capabilities to carry out activities of daily life in a harmless and self-regulating way without being fatigue. Physical inactivity invites various problems in elderly individuals. The reasons of immobility in elderly people are poor health, hospitalization, and disability that reduce body’s muscle mass1. At the age of 50 years, minor reduction in muscle strength occurs and after the age of 65 years each decade it reduces 12% to 15% 2 .The study mentions that “Loss of muscle mass, particularly of fast-twitch or Type II fibers that accompany advanced age, is associated with muscle weakness, increased fatigability, and a loss of functional independency”1. Decreased muscle strength in elderly people which includes reduced muscle mass (atrophy) and decreased capacity to produce enough force that indirectly affects their ADL.1 Hence, Strength training plays an important role in elderly fitness programs. Impaired balance is major cause of falls in elderly individuals and it is necessary to implement balance exercise in their daily life. As people get older, their aerobic capacity is reduced which is responsible for cardiac, pulmonary, and peripheral disease so, aerobic exercise helps geriatric people to improve their aerobic capacity.4
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Older individuals suffer from various diseases like diabetes, heart diseases and stroke. According to National Diabetes Fact sheet (2011), “26.9% or 10.9 million of all people in age 65 years or older had diabetes in 2010”5. The CDC indicates that “seven of every 10 Americans die each year, or more than 1.7 million people die due to chronic disease”5
Numbers of elderly individuals are increasing rapidly. According to th...
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...rowing crisis of chronic disease in United States, retrieved from http://www.fightchronicdisease.org/sites/fightchronicdisease.org/files/docs/GrowingCrisisofChronicDiseaseintheUSfactsheet_81009.pdf
7) Acampora, D., Friedkin, R., Nabors, J., Rizzo, JA., Tinetti, ME., & Williams,CS. (1998). Health care utilization and costs in a Medicare population by fall status. Medical Care 1998;36(8):1174–88. http://www.ncbi.nlm.nih.gov/pubmed/9708590
8) Clark, J., & Jones, C.J. (1998). National standards for preparing senior fitness instructors. Journal of aging and Physical Activity: 6, 207-221
Jones, J., & Rikli, R. (1999). Development and validation of a functional fitness test for community-residing older adults. Journal of Aging and Physical Activity, 7, 129-161 http://www.dsnm.univr.it/documenti/OccorrenzaIns/matdid/matdid182478.pdf
9) ACSM guidelines textbook
Flinker S., Ward D., Calabrese T., (2013). Accounting Fundamentals for Health Care Management, 2nd edition.
According to the Department of Health and Human Services (2011), 18.5 % of the United States population is over the age of 60 years. Of these, 10.9 million (26.9%) are diagnosed with diabetes mellitus (ADA, 2011.) In Lewis and associates’ text book on Medical- Surgical nursing, Lewis states that the incidence of diabetes mellitus (DM) increases with age (Lewis, Dirksen, Heitkemper, Bucher, and Camera, 2011.) The purpose of this paper is to explore the disease process of diabetes mellitus in the geriatric population.
Fatigue, decreased mobility and impaired balance from the rheumatoid and osteoarthritis pain also increases the risk of falls (Stanmore et al., 2013). Age related changes such as sarcopenia causes muscle tone and strength to decrease, especially in the lower limbs and as a result, balance and gait become impaired (Culross, 2008). These factors significantly influence the risk of falls and also affect the ability to carry out daily activities therefore, with a physiotherapists assistance, the nurse could introduce a personalised exercise regime to enhance muscle tone and strength (Culross, 2008). According to Neuberger et al (1997), exercise lessens fatigue and improves muscle tone and balance in older people. Recommending an exercise programme for Mrs Jones that incorporates strength training exercises and aerobics, could potentially improve muscle tone and strength and as a result improve mobility, balance and lessen the risk of falls (Bird, Pittaway, Cuisick, Rattray & Ahuja, 2013). The nurse could also suggest safety precautions such as advising Mrs Jones to use a mobility aid (Gooberman-Hill & Ebrahim,
Every year, one point five million Americans are diagnosed. Diabetes remains the seventh leading cause of death in the United States in 2015. 79,535 death certificates listed it as the underlying cause of death, and a total of 252,806 death certificates listed diabetes as an underlying or contributing cause of death in 2015. The total cost of diagnosed diabetes in the United States in 2012 was two-hundred and forty-five billion (Statistics About
Crowley, Ryan A., and William Golden. "Health Policy Basics: Medicaid Expansion." Annals Of Internal Medicine 160.6 (2014): 423-426. Academic Search Complete. Web. 18 Apr. 2014.
Due to the strong and growing evidence in scientific literature on the beneficial effects of physical activity on health and well-being, the importance of Clinical Exercise Science has increased. Physical activity is defined as any bodily movement produced by skeletal muscles that requires energy expenditure. Exercise, is a subcategory of physical activity that is planned, structured, repetitive, and purposeful in the sense that the improvement or maintenance of one or more components of physical fitness is the objective (http://www.who.int/dietphysicalactivity/pa/en/; last accessed on 30 April 2016). Generally speaking, Clinical Exercise Science is an applied clinical branch which deals with the application of various exercise modalities for
Hansen, PJ. (2001). The Preferred Learning Styles of Student Athletic Trainers and Certified Athletic Trainers in NATA District IV and DistrictV. Journal of Athletic Training, 36 (2), 45. Retrieved March 7, 2003, from www.journalofathletictraining.org/jatsupplement/athletic.htm
Miller, J. (2013). Payers rethink utilization costs. Managed Healthcare Executive, 23(11), 9-9,15. Retrieved from http://search.proquest.com/docview/1458614037?accountid=36202
In today’s society, what was once said to be true and taken as fact regarding older people is no longer the whole story. As Laslett states, “At all times before the middle of the twentieth century and all over the globe the greater part of human life potential has been wasted, by people dying before their allotted time was up.” (1989a), and to a great extent a lot
The Henry J. Kaiser Family Foundation (2011). Health care spending in the United States and
Levit, K. R., & Cowan, C. A. (1991). Business, households and governments: Health care costs, 1990. Health Care Financing Review, 13 (2), 83. Retrieved from: Ashford University Library
My father is a man who just turned 75 years old last month. He has had a very active life with a schedule that did not allowed him to have much free time. Throughout his life he was always divided his time between work responsibilities, family obligations and leisure time. Five years ago, he decided it was time to rest and not work any more. From the moment my father became a retired person I have seen how he transformed into a sad and very boring person. I can see how every day he loses more skills. Before he enjoyed driving in a safe manner, now he does not like to drive because he does not feel like a safe driver. He used to enjoy just weekends with no obligations and used to go to bed early because he was tired and he needed sleep. He says that life changed completely since his retirement. He believes that he was better before when he was a working man than now he has no obligations outside the house.
Today, the world’s population is aging at a very fast pace and the United States is no exception to this demographic change. According to the U.S Census Bureau, senior citizens will account for 21% of the American population in 2050 (Older Americans, 2012). Although living longer lives may not seem like a negative sign, living longer does not necessarily mean living healthier. Older adults of today are in need of long-term health care services more than any generation before them (Older Americans, 2012). Because of the growing need for senior care, millions of families are facing critical decisions on how to provide care for their parents.
This study suggests that fall risk prevention should include information on physical activity. This shows that Activity Theory is important on aging. The article suggested ways to help get older adults involved in physical activity such as; exercise programs focused only on older adults, practicing positive reinforcement, and teaching ways to overcome barriers in activity.
Corbin, C. (2013), Concepts of Physical Fitness: Active Lifestyles for Wellness, McGraw-Hill Higher Education Publishing