Falls in the elderly: Prevention and care in COVID-19 situations

Authors

  • Ploenpit Thaniwattananon Faculty of Nursing, Prince of Songkla University
  • Malee Kumkong Faculty of Nursing, Thaksin University

Keywords:

elderly, fall, prevention and care, COVID-19 situation

Abstract

Thailand has now become a completely aged society. The elderly are considered vulnerable and requires the preparation of a health care system to support. The deceleration in aging, both physical and psychological changes, as well as chronic diseases causing the elderly to have a high risk of falling. Falls in the older population and their consequences are one of the leading causes of disability. They significantly reduce quality of life and lead to loss of independence and impaired social functioning. The ongoing Coronavirus disease (COVID-19) pandemic, social distancing and the lockdown policy increase the barriers of the elderly to maintain their usual health. During the COVID-19 outbreak, falls and slips were the most common mechanism of injury, therefore more attention on fall prevention and care protocols for effective care of the elderly are needed: (1) a comprehensive geriatric heath assessment and fall risk screening: personal illness, activity of daily living, and nutrition; (2) internal and external environmental assessment, and (3) fall prevention guidelines focusing on strengthening physical health and improving the environment for safety both in houses and in the community and create innovation to prevent falls and reduce injuries. Preventing home hazards that cause fall injuries to elderly population should become a priority in geriatric care so that the elderly can have a better health and promote good quality of life.

References

World Health Organization [updated 2021,

cited 2022 Aug 21]. Aging and health

[about 2 screens]. Available from: https://

www.who.int/news-room/fact-sheets/

detail/ageing-and-health.

Bureau of Registration Administration.

Department of Provincial Administration

[updated 2022, cited 2022 Aug 21]. Elderly

statistics [about 1 screens]. Available from:

https://stat.bora.dopa.go.th/StatMIS/#/

ReportStat/3.

Division of Injury Prevention Department

of Diseases Control. Ministry of Public

Health [updated 2022, cited 2022 Aug 21].

Fall facts: older adult fall prevention in

Thailand [about 2 screens]. Available from:

https://ddc.moph.go.th/dip/news.

php?news=23843.

Office of Printing Company Affairs.

Department of Health. Ministry of Public

Health. Guide to healthy promotion

guidelines slow down aging longevity for

the elderly. Nonthaburi: The War Veterans

Organization of Thailand Under Royal

Patronage His majesty the King; 2021.

Gupta D, Kaur G, Gupta A. Geriatric

syndromes. (Medicine update 2016).

Publisher: Jaypee brothers. 2016.

Siritipakorn P, Muangpaisan W, Pisalsarakij

D, et al. Prevalence of geriatric syndromes

and characteristics of elderly patients in

geriatric clinic: Siriraj hospital. J Nurs Health

Care 2019;37(3):20-9. (In Thai)

Charoensuksiri S, Charoensuksiri K, Uankeao

A. Balance ability, balance confidence and

health-related quality of life among the

elderly in a community in Chai Badan

district, Lop Buri province. J Med Health

Sci 2022;29(1):1-14. (In Thai)

World Health Organization [updated 2008,

cited 2022 June 19]. WHO global report

on falls prevention in older age [p.1-47].

Available from: https://www.who.int/

publications/i/item/9789241563536.

Department of Health. Ministry of Public

Health [updated 2021, cited 2022 June

. 6 things to know to reach a healthy

aging [about 7 screens]. Available from:

https://care.anamai.moph.go.th/files/

media/TOR2_6Anti_aging.pdf.

Srichang N, Kaovi L. Elderly falls forecast

report (60 years and older) in Thailand

year 2560-2564. Division of NonCommunicable Discases. Department of

Diseases Control, Ministry of Public Health.

Bangkok: Office of Printing Company

Affairs, The War Veterans Organization of

Thailand Under Royal Patronage His

majesty the King, 2017.

Boonyaratana Y. Fall prevention for elderly

in the community with customer focus.

LMJ 2018;39(1):41-3. (In Thai)

Preeti M, Jeffrey K, Erica S, et al. [updated

, cited 2022 Aug 21]. Physical

functioning and falls during the COVID-19

pandemic. University of Michigan National

Poll on Healthy Aging [about 4 screens].

Available from: https://deepblue.lib.

umich.edu/bitstream/handle/2027.42/

/0239.

Wongyara N, Wongsawang N, Turner K, et al.

Risk factors of fear of falling in communityDwelling older adults. Veridian E-Journal,

Science and Technology Silpakorn University

;10(5):337-47.

Sripanya B, Ubol B, Jandassaeng S, et al.

Balance ability in elderly persons with and

without diabetic peripheral neuropathy. J

Med Health Sci 2020;27(3):15-26. (In Thai)

Van Jaarsveld, GM. The effects of COVID-19

among the elderly population: A case for

closing the digital divide. Front Psychiatry

;11:1-7.

Foundation of Thai Gerontology Research

and Development Institute (TGRI). Situation

of the Thai elderly 2020. Bangkok, Amarin

Printing and Publishing Public Company

Limited, 2021.

Hoffman GL, Malani PN, Solway E, et al.

Changes in activity levels, physical

functioning, and fall risk during the

COVID-19 pandemic. J Am Geriatr Soc

;70:49–59.

Gawronska K, Lorkowski J. Falls as one of

the atypical presentations of COVID-19 in

older population. Geriatr Orthop Surg

Rehabil 2021;12:1-5.

Thipakorn Y, Thisayakorn P. Delirium in

COVID-19. J Psychiatr Assoc Thai 2021;66(4):

-88. (In Thai)

Siriraj Academic Center of Geriatric

Medicine [updated 2020, cited 2022 Aug

. Care for the elderly during COVID-19

[about 3 screens]. Available from: https://

www.si.mahidol.ac.th/th/healthdetail.

asp?aid=1417.

Tajai P, Hengnalen B, Sanguanpanich Y.

Hip fracture in older people: Roles of

nurses in preventing complications before

and after hip surgery. CUTJ 2020;26(4):116-

(In Thai)

U.S. Food & Drug Administration [updated

, cited 2022 Aug 21]. What are drug

interactions? [about 3 screens]. Available

from: https://www.drugs.com/drug_

interactions.html.

Rodseeda P. Fall prevention among the

elderly living in a community: The nursing

role in home health care. TRC Nurs J

;11(2):15-25. (In Thai)

Tangsawad S, Simmatan S, Hampituk N, et

al. Risk assessment and development of

policy recommendations for fall prevention

for the elderly in the community. Dis

Control J 2020;46(4):565-78. (In Thai)

Poncumhak P, Duangsanjun W, Srithawong

A, et al. The optimal cut-off score of the

dynamic balance test for predict risk of

falls in community-dwelling older adults.

Srinagarind Med J 2018;33(4):334-8.

Udomwech T, Anusornvongchai T. The

association of sarcopenia and elderly hip

fracture. J DMS 2020;45(3):51-8. (In Thai)

Rubenstein LZ, Josephson KR. Falls and

their prevention in elderly people: what

does the evidence show? Med Clin North

Am 2006;90(5):807-24.

Kumkwan Y, Khumngeon A, Wannalai U,

et al. Home-based fall prevention guideline

in Thailand contexts for elderly people.

NJPH 2018;28(3):10-22. (In Thai)

Wongsawang N, Jeenkhowkhum D, Boonsiri

C, et al. Home environmental risks for falls

and indecent of falls in older adults.

Veridian E-Journal Science and Technology

Silpakorn University 2017;10(3):2492-506.

(In Thai)

Saraf AA, Petersen AW, Simmons SF, et al.

Medications associated with geriatric

syndromes and their prevalence in older

hospitalized adults discharged to skilled

nursing facilities. J Hosp Med

;11(10):694-700.

Ngamkala T, Intarasombat P, Monkong S.

A synthesis of research on fall prevention

and management in hospitalized patients.

Rama Nurs J 2011; 17(1):108-25. (In Thai)

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Published

2023-04-28

How to Cite

1.
Thaniwattananon P, Kumkong M. Falls in the elderly: Prevention and care in COVID-19 situations. J Med Health Sci [Internet]. 2023 Apr. 28 [cited 2024 Dec. 19];30(1):166-78. Available from: https://he01.tci-thaijo.org/index.php/jmhs/article/view/263332

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Section

Review article (บทความวิชาการ)