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Further study is needed to organize a comprehensive fall prevention program according to the risk factors identified in this study to reduce in-hospital falls in Taiwan.
Several studies, however, indicate that many older adults discharged from EDs for a fall-related injury are not referred for, and do not receive, post-discharge comprehensive fall prevention care (Naughton et al. 2012; Salter et al. 2006; Donaldson et al. 2005).
The major strength of this study is high quality incident fall data based on the comprehensive fall monitoring system.
While the Australian program included bone health assessment, the Colombian program included more comprehensive fall risk screening tools in their assessment.
This interdisciplinary approach was rooted in the acknowledgement that, due to the complexities of fall injury prevention in LTC settings and the need for diverse perspectives to develop comprehensive fall prevention strategies.
The initial assessment at both clinics consists of a comprehensive fall risk assessment, including a structured algorithm adapted from the Assessing Care of Vulnerable Elders (ACOVE) intervention to identify risk factors for falls.
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Wu et al. (2010) conducted a cost-effectiveness analysis of a proposed clinical falls prevention program, the Falls Rehabilitation Program (FRP), which would provide Medicare reimbursement for comprehensive falls risk assessment and remediation for older adults who have fallen at least once in the preceding year.
A comprehensive falls risk assessment was conducted for each client to develop an individualised falls and injury management plan that included a tailored exercise programme to improve strength and balance.
To identify risk factors for falls and generate two screening tools: an opportunistic tool for use in consultation to flag at risk patients and a systematic database screening tool for comprehensive falls assessment of the practice population.
Application of a comprehensive falls risk assessment [ 17, 18] can be the basis for effective falls prevention for individuals, particularly those at increased risk.
This study was conducted as part of an initiative to develop a comprehensive falls prevention programme for the rural Bangladeshi children.
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