Schroder Sattar1, Sandra L Spoelstra2, Shabbir M H Alibhai3, Martine T E Puts4. 1. Lawrence S. Bloomberg, Faculty of Nursing, University of Toronto, 155 College Street, Suite 130, Toronto, ON M5T 1P8, Canada. Electronic address: Schroder.sattar@mail.utoronto.ca. 2. Kirkhof College of Nursing, Grand Valley State University, 301 Michigan Street, MI 49502, USA. 3. Department of Medicine, Institute of Health Policy, Management, and Evaluation, University Health Network, University of Toronto, Room EN 14-214, 200 Elizabeth Street, Toronto M5G 2C4, Canada. 4. Lawrence S. Bloomberg, Faculty of Nursing, University of Toronto, 155 College Street, Suite 130, Toronto, ON M5T 1P8, Canada.
Abstract
BACKGROUND: Falls are common among older adults and are of added concern among those with cancer due to cancer and its treatments. Knowledge on circumstances surrounding falls and fear of falling is vital for understanding how various factors may precipitate falls and for informing development of effective fall prevention interventions. The aim of the study was to explore circumstances of falls and fear of falling in community-dwelling older adults with cancer. METHOD: A convergent-parallel mixed-methods design was used in this cross-sectional study. Community-dwelling older adults (aged ≥65) with cancer who experienced ≥1 fall in the past year were recruited (N = 100) from the Princess Margaret Cancer Centre in Toronto, Canada. Data collection included patient self-reported survey and open-ended interview. Descriptive statistics for quantitative data and thematic analyses for qualitative data were conducted. RESULTS: One hundred sixty-eight falls were recalled. Falls occurred mostly indoor, during the day and during normal, non-hazardous activities. Many participants had a fall when not using their walking aid. While some participants (15%) attributed their falls to bad turns or tripping, others blamed themselves for being careless or foolish. Themes from qualitative interviews included 'cognitive appraisal of falls', 'mobility-related fall reasons', and 'opportunity for health-teaching'. CONCLUSION: Circumstances of falls seem to be similar to those in the general geriatric population. Strategies for fall prevention and management used in the general geriatric population may potentially benefit this population as well. Attention may be warranted specifically regarding medication review, health-teaching on fall safety, home safety evaluation, and balance training referral.
BACKGROUND: Falls are common among older adults and are of added concern among those with cancer due to cancer and its treatments. Knowledge on circumstances surrounding falls and fear of falling is vital for understanding how various factors may precipitate falls and for informing development of effective fall prevention interventions. The aim of the study was to explore circumstances of falls and fear of falling in community-dwelling older adults with cancer. METHOD: A convergent-parallel mixed-methods design was used in this cross-sectional study. Community-dwelling older adults (aged ≥65) with cancer who experienced ≥1 fall in the past year were recruited (N = 100) from the Princess Margaret Cancer Centre in Toronto, Canada. Data collection included patient self-reported survey and open-ended interview. Descriptive statistics for quantitative data and thematic analyses for qualitative data were conducted. RESULTS: One hundred sixty-eight falls were recalled. Falls occurred mostly indoor, during the day and during normal, non-hazardous activities. Many participants had a fall when not using their walking aid. While some participants (15%) attributed their falls to bad turns or tripping, others blamed themselves for being careless or foolish. Themes from qualitative interviews included 'cognitive appraisal of falls', 'mobility-related fall reasons', and 'opportunity for health-teaching'. CONCLUSION: Circumstances of falls seem to be similar to those in the general geriatric population. Strategies for fall prevention and management used in the general geriatric population may potentially benefit this population as well. Attention may be warranted specifically regarding medication review, health-teaching on fall safety, home safety evaluation, and balance training referral.
Authors: Nayan Lamba; Fang Cao; Daniel N Cagney; Paul J Catalano; Daphne A Haas-Kogan; Patrick Y Wen; Ayal A Aizer Journal: Neurooncol Pract Date: 2021-11-01
Authors: T M Wildes; S Alibhai; S Sattar; K Haase; S Kuster; M Puts; S Spoelstra; C Bradley Journal: Support Care Cancer Date: 2020-07-16 Impact factor: 3.603