跳至主要内容

Use of the Tinetti Index to Assess Fall Risk in Patients with Sequelae of Stroke

Read full paper at:
http://www.scirp.org/journal/PaperInformation.aspx?PaperID=52356#.VJJC7cnQrzE

Background and Objective: The knowledge about risk of falls in patients with sequelae of stroke by applying a scale constitutes an important factor fort nurses since it allows planning for quality care and consequently improves the quality of life of such patients. The present study aimed to assess the risk of falls of patients with sequelae of stroke using Tinetti Index. Methods: Transversal descriptive study with 61 hospitalized patients. The data were collected through the application of Tinetti Index, which total score is 28 points. Results: The index evaluation shows que 47.9% had 19 points under the ideal score, indicating a high risk of falls, 41.7% from 24 to 28, indicating moderate risk and 10.4% from 19 to 23 points, indicating low risk of falls. The final average was (15.23), the median (16.50) and standard deviation (±11.034). Conclusions: There is a high risk of falls in this population, a quantification of impaired balance and gait anticipate the future risk of falls. The use of assessment instruments has important implications for quality of life in patients with symptomatic stroke.
Cite this paper
de Figueiredo Carvalho, Z. , Coelho, J. , Campos, R. , de Oliveira, D. , Machado, W. and de Freitas Maniva, S. (2014) Use of the Tinetti Index to Assess Fall Risk in Patients with Sequelae of Stroke. Journal of Biomedical Science and Engineering, 7, 1088-1094. doi: 10.4236/jbise.2014.714106. 
 

[1] Pedreira, L.C. and Lopes, R.L.M. (2010) Home Care to the Elderly Who Had Stroke. Revista Brasileira de Enfermagem, 63, 837-840.
http://dx.doi.org/10.1590/S0034-71672010000500023
[2] Dickson, V.V., Clark, R.A., Rebolo-Silva, E.R. and Buck, H.G. (2013) Self-Care and Chronic Disease, Nursing Research and Practice. Nursing Research and Practice, Article ID: 827409.
http://dx.doi.org/10.1155/2013/827409
[3] O’Connell, B. and Baker, L. (2004) Managing as Carers of Stroke Survivors: Strategies from the Field. International Journal of Nursing Practice, 10,121-126.
http://dx.doi.org/10.1111/j.1440-172X.2004.00469.x
[4] Go, A.S., Mozaffarian, D., Roger, V.L., et al. (2013) Heart Disease and Stroke Statistics—2013 Update: A Report from the American Heart Association. Circulation, 127, e6-e245.
http://dx.doi.org/10.1161/CIR.0b013e31828124ad
[5] Castilla-Guerra, L., Serrano-Rodríguez, L., Alpanseque-Hoogesteyn, L., Fernández-Moreno, M.C. and Jiménez-Hernández, M.D. (2013) Prehospital Care of Acute Stroke: Have We Really Improved. Revista Neurologia, 56, 255-256.
http://www.neurologia.com/pdf/Web/5604/bh040255.pdf
[6] Moreira, R.P., Araújo, T.L., Cavalcante, T.F., Guedes, N.G., Lopes, M.V.O., Costa, A.G.S. and Chave, D.B.R. (2010) Stroke: Risk Indicators Profile. Revista Rede de Enfermagem do Nordeste, 1, 201-212.
http://www.revistarene.ufc.br/revista/index.php/revista/article/view/381/pdf
[7] Barker-Collo, S., Feigin, V.L. and Dudley, M. (2007) Post-Stroke Fatigue-Where Is the Evidence to Guide Practice? Journal of the New Zealand Medical Association, 120, 1264.
http://journal.nzma.org.nz/journal/120-1264/2780/
[8] Lessmannl, J.C., Conto, F., Ramos, G., Borenstein, M.S. and Meirelles, B.H.S. (2011) Nursing Activities in Self-Care and Rehabilitation of Patients Who Suffered Stroke. Revista. Brasileira de Enfermagem, 64, 198-202.
http://dx.doi.org/10.1590/S0034-71672011000100030
[9] Andrade, L.M., Costa, M.F.M., Caetano, J.A., Soares, E. and Beserra, E.P. (2008) The Issue of Family Caregivers of Patients with Stroke. Revista da Escola de Enfermagem da USP, 43, 37-43.
[10] Aguiar, P.T., Rocha, T.N. and Oliveira, E.S. (2010) Scales of Trunk Control and Functional Outcome in Patients after Stroke. Acta Fisiatrica, 15, 160-164.
http://www.actafisiatrica.org.br/default.asp?ed=24
[11] Tinetti, M.A., Richman, D. and Powell, L. (1990) Falls Efficacy as a Measure of Fear of Falling. Journal of Gerontology, 45, 239-243.
http://www.ncbi.nlm.nih.gov/pubmed/2229948
http://dx.doi.org/10.1093/geronj/45.6.P239
[12] Silva, V.F. and Matsuura, C. (2002) Effects of Regular Physical Activity on the Cognitive Status and Prevention of Falls in the Elderly. Fitness Performance Journal, 3, 39-45.
http://www.ncbi.nlm.nih.gov/pubmed/2229948
[13] Apóstolo, J.L.A. (2011) Tools for Assessment in Geriatrics (Geriatric Instruments). Doctoral Thesis, Escola Superior de Enfermagem de Coimbra/Portugal, Coimbra, 111 f.
[14] Costa, A.G.S., Oliveira, A.R.S., Moreira, R.P., Cavalcante, T.F. and Araujo, T.L. (2010) Identification of the Risk of Falls in Elderly Stroke Patients. Escola Anna Nery, 14, 684-689.
http://dx.doi.org/10.1590/S1414-81452010000400005
[15] Morais, H.C.C., Holanda, G.F., de S. Oliveira, A.R., de S. Costa, A.G., Ximenes, C.M.B. and de Araujo, T.L. (2012) Identification of Nursing Diagnosis Risk of Falls in Elderly Patients with Stroke. Revista Gaúcha de Enfermagem, 33, 117-124.
[16] de S. Oliveira, A.R., de S. Costa, A.G., de Sousa, V.E.C., Moreira, R.P., et al. (2011) Pipelines for the Prevention of Patient Falls with Stroke. Revista Enfermagem UERJ, 19, 107-113.
[17] Borges, P.S., Marinho Filho, E.N. and Mascarenhas, C.H.M. (2010) Correlation between Balance and Home Environment as Risk of Falls in Elderly Patients with Stroke. Revista Brasileira Geriatria end Gerontologia, 13, 41-50.
http://dx.doi.org/10.1590/S1809-98232010000100005
[18] Damázio, L.C.M., Oliveira, J.C., Marciano, E.D. and Pissolati, M.G. (2014) Evaluation of the Risk of Falls and Quality of Life of Elderly Patients with Stroke. Saúde, 40, 43-50.
[19] Nogueiro, A., Novo, A., Branco, D., Mendes, E. and Preto, L. (2010) Functional Potential and Downside Risk.
https://bibliotecadigital.ipb.pt/handle/10198/2899             eww141218lx
标签：

评论

发表评论

此博客中的热门博文

Does Immigration Promote the Investment of the Monopolistic Firm?

In the present paper, we examine the effect of increasing uncertainty of immigrants’ growth on the optimal timing of investment of a firm that has a monopolistic power over the labor market. It is revealed that when the uncertainty of immigrants’ growth is more than a threshold level, increasing uncertainty of immigrants’ growth accelerates the optimal timing of firms’ investment and enhances the economic growth, even if the uncertainty of immigrants’ growth is formulated by the geometric Brownian motion, which is in sharp contrast to the standard result that an increase in the uncertainty postpones the optimal timing. With an increase in the immigrants over the past ten years, workforces in the host countries have been growing significantly to the extent that the immigrants represent 70% of the increase in the workforce in Europe, and 47% in the United States as OECD indicates. In the present paper, we attempted to investigate the effect of increased uncertainty caused by the growi...
发表评论
阅读全文

Education Policy Implementation: A Mechanism for Enhancing Primary Education Development in Zanzibar

Education is one of the fundamental rights of individuals; therefore, the government of a country needs to develop and strengthen educational policy and quality as well as to ensure that everyone has equal access to basic education. The improvement of access and quality of education in the world is becoming as an essential factor in development, whereas the basic education (primary school), is acknowledged as a foundation of the higher educational development for every country. To fulfill this goal, governments introduce several policies and procedures; however, it requires some reforms and participation from the politician, policymakers, and other stakeholders to re-examine educational policy so that it can lead to multiplication and betterment of the reforms. Educational reforms actually focus on accountability. A positive educational development and reform is very challenging and needs more effort and strategy on how to use and utilize the resources effectively as such it can achie...
发表评论
阅读全文