资源描述:
《Falls and Fall Prevention in the Elderly Insights from Jamaica 老年人跌倒和跌倒预防:来自牙买加地启示.pdf》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、FallsandFallPreventionintheElderly:InsightsfromJamaicaKennethJamesJacquelineGouldbourneChloeMorrisDeniseEldemire-ShearerDepartmentofCommunityHealthandPsychiatryMonaAgeingandWellnessCentreUniversityoftheWestIndiesMona,JamaicaAbstractFallsamongtheelderlyisincreasinglybeingrecogniz
2、edasanissueofconcerninbothdevelopedanddevelopingcountries.Fallsintheelderlymayprecipitateadversephysical,medical,psychological,socialandeconomicconsequences.InJamaica,therearenoexhaustivestudiesorliteraturethathavefullycapturedtheepidemiology,aetiologyorimpactofsuchfalls,thought
3、hereisevidencetosuggestthatitisanissuethatwarrantssomeattention.Thispaper,throughtheuseofquantitativeandqualitativemethodssoughttogaininsightsonthesituationregardingfallsamongtheelderlyinJamaica.Throughliteraturereviews,canvassingofmedicalsrecords,conductingfocusgroupsandintervi
4、ews,perspectivesweregleanedonfallsamongelderlypersonsinJamaica.Contributoryandriskfactors,andperceptionsandcostswereexplored,aswereanyexistingfallpreventionpoliciesorpolicythrusts.TheemergingpictureisthatfallsarenotarareoccurrenceamongolderpersonsinJamaicaandextrinsicfactorssuch
5、aspoorroadsurfaces,poorlyconstructedstepsandpoordesignofpublictransportationvehiclesetc.arefactorsthatcausefallsinthelocalsetting.Similarly,intrinsicfactorsrelatedtoco-morbidconditionsuchashypertension,diabetesandsensoryimpairmentappeartoalsocontributetoincreasedriskoffalling.Fu
6、rtherresearchontheissueisneededinJamaica.Sotooarespecificfallpreventionpoliciesandprogramsandactionstoaddressprevailingconcerns.Increasedawarenessoftheoccurrenceoffallsamongtheelderlyandmobilizationofeffortstodecreasesucheventsisneeded,complementedbyculturallyrelevanthealtheduca
7、tionandpromotionactivities.Synergisticeffortsofgovernment,civilsociety,seniorsandcommunitiesandhouseholdswillberequiredforsuccessfulfallprevention.Thetimeforplanningandactionisnow.2FallsandFallPreventionintheElderly:InsightsfromJamaicaIntroductionAfallcanbedefinedas“unintentiona
8、llycomingtorestonthegroundorotherlowerlevelwith