A Study To Investigate Fear Of Falling On An Age-Related Rehabilitation Unit

Abstract

Abstract Background Fear of falling (FOF) is a lasting concern about falling that can lead an individual to avoid activities that he/she remains capable of preforming. Due to a FOF many older adults restrict their activities and subsequently increase their risk of falls. The aim of this study was to 1. Obtain a profile of FOF in an age-related inpatient population 2. Determine the severity of their FOF 3. Collect mobility status and falls history. Methods All current inpatients on two age-related rehabilitation units (age >/= 65 years) with sufficient communication were included. Patients were facilitated to complete The Falls Efficacy Scale International (FES-I) which is a 16-point scale that is valid and reliable. A score of 16-19 indicates a low concern, 20-27 moderate concern and 28-64 a high concern about falling. A two-point convenience sampling at summer and winter period was used. Data was anonymized and recorded using Microsoft excel. Results 68 questionnaires were collected. 40% of patients were independently mobile (+/- a walking aid), 16% required supervision, 26% assistance of one and 18% assistance of two. 100% of patients had a FOF (FES-I score >16). 80% (N=54) of patients had a high FOF, 13% (N=9) had a medium FOF, and 7% (N=5) a low FOF. 75% (N=51) of patients had a documented falls history. 80% (N=41) of people with a falls history had a high FOF. 76% (N=13) of those with no falls history had a high FOF. Conclusion This the first profile of FOF in our age-related rehabilitation unit. 93% of patients reported a high or medium FOF with high rates reported independent of a history of falling. Addressing FOF with evidence-based interventions and psychological support may reduce length of stay and increase successful discharges from older person rehabilitation units.