Background: Falls involving persons aged 65 years and older is the most common cause of accidents leading to hospital care and is associated with both high morbidity and death. In hospital care, it is estimated that fall accidents account for 20-30% of reported incidents. Falls can be caused by multifactorial factors. Purpose: The purpose was to investigate risk factors concerning accidental falls involving patients aged 65 years and older at orthopedic inpatient care. Method: A retrospective case-control study focused on falls with a quantitative basis was used to answer the purpose of this study. 47 incidents of accidental falls were audited to a study group and then compared to a control group of 47 patients. Data was analyzed with descriptive and analytic statistics. Results: This study shows that the use of sleeping aids increase the risk of falls (p=0,004) but also that the length of inpatient care in itself has importance. Discussion: Sleep aids increase the risk of fall and therefore non-pharmacological nursing measure should be seen as the first choice over the pharmacological measures. Conclusion: Nonpharmacological nursing alternatives for improved sleep quality should be prioritized and several alternatives are mentioned in the study. Further studies in this area could be focused on why increased length of care can lead to an increased likelihood of accidental falls.
|Date of Award
|Ulrika Olsson Möller (Supervisor) & Peter Hagell (Examiner)
- Graduate Programme in specialist nursing - elderly care
- 15 HE credits
Swedish Standard Keywords
- Nursing (30305)