Nursing diagnosis Risk for Falls in the elderly in primary health care

Rev Bras Enferm. 2020 Jul 8;73Suppl 3(Suppl 3):e20180826. doi: 10.1590/0034-7167-2018-0826.
[Article in English, Portuguese]

Abstract

Objective: to evaluate the Nursing Diagnosis (ND) Risk for Falls in elderly subjects in primary health care in the Federal District.

Methods: a descriptive, quantitative, cross-sectional study conducted in two basic health units. Data collection included blood collection, nursing consultation and physical evaluation of 156 elderly subjects with chronic diseases.

Results: the most prevalent intrinsic risk factors of NANDA-I were visual impairment (73.7%), impaired mobility (70.5%) and history of falls (69.9%); and extrinsic factors were the use of insufficient material in the bathroom (60.3%) and loose carpets (58.3%). The intrinsic factors that increased the risk for falls were the use of assistive devices (OR 3.50; p=0.030), impaired walking (OR 2.84; p=0.019) and cognitive impairment (OR 1.26; p=0.019); and the extrinsic factor was the use of loose rugs (OR 1.59; p=0.041).

Conclusion: this ND has proved to be a valuable instrument for the identification of risk factors for falls in elderly subjects in primary care.

MeSH terms

  • Aged
  • Cross-Sectional Studies
  • Humans
  • Nursing Diagnosis*
  • Primary Health Care*
  • Risk Factors