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Related Experiment Videos

Agitation and falls in institutionalized elderly persons.

M S Marx1, J Cohen-Mansfield, P Werner

  • 1Research Institute, Hebrew Home of Greater Washington.

Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society
|February 8, 1990
PubMed
Summary

Nursing home residents who fell exhibited significantly more agitated behaviors, including physical and verbal aggression. Falls were most common during busy day shifts and least common during the night shift.

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Area of Science:

  • Gerontology
  • Nursing Science
  • Behavioral Medicine

Background:

  • Falls are a significant risk for nursing home residents.
  • Agitation is common in this population and has multiple dimensions.
  • Understanding the relationship between falls and agitation is crucial for resident safety.

Purpose of the Study:

  • To investigate the relationship between nursing shift, resident agitation, and fall occurrence in a nursing home setting.
  • To compare the behavioral manifestations of residents who fell versus those who did not.

Main Methods:

  • Observational study involving 408 nursing home residents.
  • Recording of falls and three dimensions of agitation (aggressive, physically nonaggressive, verbal behaviors) across three nursing shifts.

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  • Statistical comparison between residents who fell and those who did not.

    • Main Results:

    • Falls were most frequent during the day shift and least frequent during the night shift.
    • Residents who fell demonstrated significantly higher levels of physically nonaggressive behaviors, aggressive behaviors, and verbal behaviors compared to non-fallers.
    • A greater total number of agitated behaviors was observed in residents who experienced falls.

    Conclusions:

    • Agitation, in its various forms, is significantly associated with an increased risk of falls in nursing home residents.
    • Nursing shift patterns, particularly staffing levels and resident activity, correlate with fall incidence.
    • Interventions targeting agitation may help reduce fall rates in long-term care facilities.