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dc.contributor.authorCollins, Courtney E.
dc.contributor.authorChandra, Arnav
dc.contributor.authorNguyen, Bryan
dc.contributor.authorSchultz, Kurt
dc.contributor.authorMathew, Pawan
dc.contributor.authorChen, Tiffany
dc.contributor.authorRenshaw, Savannah
dc.contributor.authorRose, Karen M.
dc.contributor.authorSantry, Heena P.
dc.date2022-08-11T08:09:57.000
dc.date.accessioned2022-08-23T16:50:15Z
dc.date.available2022-08-23T16:50:15Z
dc.date.issued2020-10-23
dc.date.submitted2020-12-11
dc.identifier.citation<p>Collins CE, Chandra A, Nguyen B, Schultz K, Mathew P, Chen T, Renshaw S, Rose KM, Santry HP. The Rose-Colored Glasses of Geriatric Fall Patients: Inconsistencies Between Knowledge of Risk Factors for and Actual Causes of Falls. Gerontol Geriatr Med. 2020 Oct 23;6:2333721420967884. doi: 10.1177/2333721420967884. PMID: 33173805; PMCID: PMC7588762. <a href="https://doi.org/10.1177/2333721420967884">Link to article on publisher's site</a></p>
dc.identifier.issn2333-7214 (Linking)
dc.identifier.doi10.1177/2333721420967884
dc.identifier.pmid33173805
dc.identifier.urihttp://hdl.handle.net/20.500.14038/41623
dc.description.abstractBackground: Falls are the leading cause of fatal injury, and most common cause of non-fatal trauma, among older adults. We sought to elicit older patient's perspectives on fall risks for the general population as well as contributions to any personal falls to identify opportunities to improve fall education. Methods: Ten patients with a history of falls from inpatient trauma and outpatient geriatric services were interviewed. Transcripts were analyzed independently by five individuals using triangulation and constant comparison (NVivo11, QSR International) to compare fall risks to fall causes. Results: All patients reported that either they (9/10 participants) or someone they knew (8/10) had fallen. Despite this, only two personally worried about falling. Patient perceptions of fall risks fell into seven major themes: physiologic decline (8/10); underestimating limitations (7/10); environmental hazards (7/10), lack of awareness/rushing (4/10), misuse/lack of walking aids (3/10); positional transitions (2/10), and improper footwear (1/10). In contrast, the most commonly reported causes of personal falls were lack of awareness/rushing (7/10), environmental hazards (3/10), misuse/lack of walking aids (2/10), improper footwear (2/10), physiologic decline (2/10), underestimating limitations (1/10) and positional transitions (1/10). In general tended to attribute their own falls to their surroundings and were less likely to attribute physical or psychological limitations. Conclusion: Despite participants identifying falls as a serious problem, they were unlikely to worry about falling themselves. Participants were able to identify common fall risks. However, when speaking about personal experience, they were more likely to blame environmental hazards or rushing, and minimized the role of physiologic decline and personal limitations.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=33173805&dopt=Abstract">Link to Article in PubMed</a></p>
dc.rightsCopyright © 2020 The Author(s). This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectClinical geriatrics
dc.subjecteducation
dc.subjectfalls
dc.subjectprevention
dc.subjectGeriatrics
dc.subjectGerontology
dc.subjectHealth Psychology
dc.subjectPathological Conditions, Signs and Symptoms
dc.subjectPsychiatry and Psychology
dc.subjectPublic Health Education and Promotion
dc.titleThe Rose-Colored Glasses of Geriatric Fall Patients: Inconsistencies Between Knowledge of Risk Factors for and Actual Causes of Falls
dc.typeJournal Article
dc.source.journaltitleGerontology and geriatric medicine
dc.source.volume6
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=5442&amp;context=oapubs&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/oapubs/4412
dc.identifier.contextkey20531604
refterms.dateFOA2022-08-23T16:50:15Z
html.description.abstract<p>Background: Falls are the leading cause of fatal injury, and most common cause of non-fatal trauma, among older adults. We sought to elicit older patient's perspectives on fall risks for the general population as well as contributions to any personal falls to identify opportunities to improve fall education.</p> <p>Methods: Ten patients with a history of falls from inpatient trauma and outpatient geriatric services were interviewed. Transcripts were analyzed independently by five individuals using triangulation and constant comparison (NVivo11, QSR International) to compare fall risks to fall causes.</p> <p>Results: All patients reported that either they (9/10 participants) or someone they knew (8/10) had fallen. Despite this, only two personally worried about falling. Patient perceptions of fall risks fell into seven major themes: physiologic decline (8/10); underestimating limitations (7/10); environmental hazards (7/10), lack of awareness/rushing (4/10), misuse/lack of walking aids (3/10); positional transitions (2/10), and improper footwear (1/10). In contrast, the most commonly reported causes of personal falls were lack of awareness/rushing (7/10), environmental hazards (3/10), misuse/lack of walking aids (2/10), improper footwear (2/10), physiologic decline (2/10), underestimating limitations (1/10) and positional transitions (1/10). In general tended to attribute their own falls to their surroundings and were less likely to attribute physical or psychological limitations.</p> <p>Conclusion: Despite participants identifying falls as a serious problem, they were unlikely to worry about falling themselves. Participants were able to identify common fall risks. However, when speaking about personal experience, they were more likely to blame environmental hazards or rushing, and minimized the role of physiologic decline and personal limitations.</p>
dc.identifier.submissionpathoapubs/4412
dc.contributor.departmentRespiratory Care, UMass Memorial Medical Center
dc.contributor.departmentSchool of Medicine
dc.source.pages2333721420967884


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Copyright © 2020 The Author(s). This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
Except where otherwise noted, this item's license is described as Copyright © 2020 The Author(s). This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).