The approach on the correspondence between moving and the walking ability of the elderly with dementia, fall prevention, and physical restriction reduction is summarized as follows.
1. The person's viewpoint
Falls of the elderly with dementia are caused by several risks such as those affecting the cognitive function, and it is necessary to analyze the cause of these falls from the viewpoint of the person who experienced the dangerous action leading to the fall. Accidental falls often result from a person's need for excretion or movement.
2. Care based on the person's uniqueness
Care should involve environmental maintenance or rehabilitation. It was also suggested that the support that satisfied the needs of the elderly with dementia and allowed them to move and walk safely was the original fall prevention measure.
3. Multi-factorial cooperation
It is necessary to examine support care (concerning eating, sleeping, and excreting) and the quality of life (pleasure, etc.) through multi-factorial cooperation based on the person's viewpoint in order to support the independence of the moving activity of elderly people with dementia.
4. Physical restriction reduction
Easy physical inhibition increases fall risks, which leads to needing a care station, and accidental falls. Physical restrictions that include the use of a sensor mat can easily lead to more accidental falls and a greater burden for nurses.
Safety management for preventing the occurrence of falls leads to physical restrictions. Hence, it is necessary to cultivate consciousness for injury prevention associated with falls.
Author's abstract
An Approach on the Correspondence between Moving and the Walking Ability of the Elderly with Dementia, Fall Prevention, and Physical Restriction Reduction
Faculty of Nursing, Hamamatsu University School of Medicine
Psychiatria et Neurologia Japonica
123: 278-286, 2021
<Keywords:elderly with dementia, moving walking ability, fall prevention, physical restriction reduction>