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Falls and hip fracture older people
Falls and fracture are a major public and personal health issue for older people especially in residential care. It has proved difficult to prevent falls and fracture in residential care, perhaps because the population is very frail, the staff reportedly overstressed and the resources for pragmatic change scarce.
This is a randomised trial testing best practice falls prevention in a large number of residential care facilities in Australia. The intervention was one specialist nurse delivering the ‘Green Box’ guidelines for falls prevention to 46 residential facilities with 2802 persons. There were training sessions for the ‘link’ nurses in groups and exercise therapists, and ongoing ‘network meetings’ three monthly. There were 215 hip fractures and 33% of residents with hip fracture died within 3 months! Vitamin D use increased in …
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