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A Comparative Analysis of Lower Extremity Joint Pain and the Risk of Falling in Elderly Patients

Received: 2 December 2020    Accepted: 14 December 2020    Published: 12 January 2021
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Abstract

Background: It is well known that chronic lower limb joint pain in elderly patients is closely related to the risk of falls. Understanding the relationship between pain and the risk of falling could help prevent it. Objective: To investigate the correlation between the location and degree of lower extremity joint pain and the risk of falling among newly admitted elderly patients in the Department of Rheumatology, to search for personalized care countermeasures to prevent elderly patients from falling, and to improve the safety of elderly inpatients in the Department of Rheumatology. Method: A total of 214 elderly patients admitted to the Department of Rheumatology with different lower extremity joint pains were evaluated for the location and degree of their joint pain and their risk of falling. After which, an analysis was done to determine the correlation between the location and degree of lower extremity joint pain and the risk of falling and provide targeted nursing countermeasures to prevent falling. Results: By grading the patients’ pain levels, assessing their risk of falling, and taking corresponding nursing countermeasures to prevent falling, 214 elderly patients with different lower extremity joint pains did not fall during their stay in the hospital. Conclusion: Through pain assessment and fall risk assessment and analysis, targeted measures can be taken to effectively prevent falls and reduce the occurrence of accidental injuries among elderly patients.

Published in American Journal of Nursing Science (Volume 10, Issue 1)
DOI 10.11648/j.ajns.20211001.13
Page(s) 13-16
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Joint Pains, Elderly Patients, Pain Level Grading, Fall Risk Assessment

References
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[2] Tan Zhaohui and Yu Pulin. The risk of falls and fractures in the elderly and their prevention. Chinese Journal of Practical Internal Medicine, 2011, 31 (1): 28-30.
[3] Xu Jianhong. The latest nursing evidence on preventing inpatients from falling [J]. Journal of Practical Nursing. 2001, 17 (17): 38-39.
[4] Turner K, Staggs V, Potter C. Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study. BMJ Quality & Safety 2020, 29: 1000-1007.
[5] Harbison AJ, Prabhu S. Causation and Treatment Algorithms for Elderly Patients who have Fallen in the Twin Tiers. Cureus. 2019, 11 (12): e6513.
[6] Deng Fei-Fei and Gan Xiuni, Meta-analysis of the effect of exercise and multifactorial assessment and intervention on fall prevention in older adults. Chinese Journal of Gerontology, 2011, 31 (5): 735-738.
[7] Xia Qinghua and Jiang Yu. Research on the effectivity and needs of interventions on the risk factors of the elderly falling at home. China Health Education, 2010, 26 (8): 607-608.
[8] Alacculloch P. A., Gardner T., and Bonner A. Comprehensive fall prevention programs across settings A review of the literature. Geriatric Nursing, 2007, 28 (5): 306-311.
[9] Zhao Liqun and Wan Qiaoqin. Development of a fall risk assessment tool for the elderly. Chinese Nursing Management, 2012, 12 (11): 51-54.
[10] Laura A. W., Drryl G. T., Albert B. S., et al. Age and gender differ-ence in peak lower extremity joint torquce and ranges of motion used during single-step balance recoery front a forward fall J Biomech, 2001, 34 (1): 67-75.
[11] Guo Yanmei, Huang Peng, Chen Wei, Jiao Weiguo, and Weng Changshui, Comparative analysis of balance function and risk of falling in elderly patients with osteoarthritis of one or both knees. Theory and Practice of Rehabilitation in China. 2012, 18 (1): 1.
[12] Chen Jing, Wu Qing, and Yang Lei, Impact of pain in musculoskeletal disorders on patients' ability to perform daily activities. Environmental and Occupational Medicine. 2003, 12 (6): 433.
[13] Bech RD, Lauritsen J, Ovesen O, Overgaard S. The Verbal Rating Scale Is Reliable for Assessment of Postoperative Pain in Hip Fracture Patients. Pain Res Treat. 2015, 7: 676212.
[14] Ann L. Hendrich, Patricias. Bender, and Allen Nyhuis. Validation of the Hendrieh II Fall Risk Model: A Large Concurrent Case/Control Study of HosPitalized Patients. APPlied nursing researeh, 2003, 16 (l): 9-21.
[15] Lamb SE, Jørstad-Stein EC, Hauer K, Becker C, Prevention of Falls Network Europe and Outcomes Consensus Group. Development of a common outcome data set for fall injury prevention trials: the Prevention of Falls Network Europe consensus. Journal of the American Geriatrics Society 2005; 53 (9): 1618-22.
[16] Campbell AJ, Robertson MC. Implementation of multifactorial interventions for fall and fracture prevention. Age and Ageing 2006, 35 (2): 60-64.
[17] Rong Lan, Zhu Ping, and Yu Xiaoping. Research progress on the factors associated with falls in hospitalized elderly patients. Shanghai Nursing 2018, 10 (2): 75-80.
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  • APA Style

    Xia Huang, Guiyan Wen. (2021). A Comparative Analysis of Lower Extremity Joint Pain and the Risk of Falling in Elderly Patients. American Journal of Nursing Science, 10(1), 13-16. https://doi.org/10.11648/j.ajns.20211001.13

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    ACS Style

    Xia Huang; Guiyan Wen. A Comparative Analysis of Lower Extremity Joint Pain and the Risk of Falling in Elderly Patients. Am. J. Nurs. Sci. 2021, 10(1), 13-16. doi: 10.11648/j.ajns.20211001.13

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    AMA Style

    Xia Huang, Guiyan Wen. A Comparative Analysis of Lower Extremity Joint Pain and the Risk of Falling in Elderly Patients. Am J Nurs Sci. 2021;10(1):13-16. doi: 10.11648/j.ajns.20211001.13

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  • @article{10.11648/j.ajns.20211001.13,
      author = {Xia Huang and Guiyan Wen},
      title = {A Comparative Analysis of Lower Extremity Joint Pain and the Risk of Falling in Elderly Patients},
      journal = {American Journal of Nursing Science},
      volume = {10},
      number = {1},
      pages = {13-16},
      doi = {10.11648/j.ajns.20211001.13},
      url = {https://doi.org/10.11648/j.ajns.20211001.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20211001.13},
      abstract = {Background: It is well known that chronic lower limb joint pain in elderly patients is closely related to the risk of falls. Understanding the relationship between pain and the risk of falling could help prevent it. Objective: To investigate the correlation between the location and degree of lower extremity joint pain and the risk of falling among newly admitted elderly patients in the Department of Rheumatology, to search for personalized care countermeasures to prevent elderly patients from falling, and to improve the safety of elderly inpatients in the Department of Rheumatology. Method: A total of 214 elderly patients admitted to the Department of Rheumatology with different lower extremity joint pains were evaluated for the location and degree of their joint pain and their risk of falling. After which, an analysis was done to determine the correlation between the location and degree of lower extremity joint pain and the risk of falling and provide targeted nursing countermeasures to prevent falling. Results: By grading the patients’ pain levels, assessing their risk of falling, and taking corresponding nursing countermeasures to prevent falling, 214 elderly patients with different lower extremity joint pains did not fall during their stay in the hospital. Conclusion: Through pain assessment and fall risk assessment and analysis, targeted measures can be taken to effectively prevent falls and reduce the occurrence of accidental injuries among elderly patients.},
     year = {2021}
    }
    

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    T1  - A Comparative Analysis of Lower Extremity Joint Pain and the Risk of Falling in Elderly Patients
    AU  - Xia Huang
    AU  - Guiyan Wen
    Y1  - 2021/01/12
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    N1  - https://doi.org/10.11648/j.ajns.20211001.13
    DO  - 10.11648/j.ajns.20211001.13
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
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    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20211001.13
    AB  - Background: It is well known that chronic lower limb joint pain in elderly patients is closely related to the risk of falls. Understanding the relationship between pain and the risk of falling could help prevent it. Objective: To investigate the correlation between the location and degree of lower extremity joint pain and the risk of falling among newly admitted elderly patients in the Department of Rheumatology, to search for personalized care countermeasures to prevent elderly patients from falling, and to improve the safety of elderly inpatients in the Department of Rheumatology. Method: A total of 214 elderly patients admitted to the Department of Rheumatology with different lower extremity joint pains were evaluated for the location and degree of their joint pain and their risk of falling. After which, an analysis was done to determine the correlation between the location and degree of lower extremity joint pain and the risk of falling and provide targeted nursing countermeasures to prevent falling. Results: By grading the patients’ pain levels, assessing their risk of falling, and taking corresponding nursing countermeasures to prevent falling, 214 elderly patients with different lower extremity joint pains did not fall during their stay in the hospital. Conclusion: Through pain assessment and fall risk assessment and analysis, targeted measures can be taken to effectively prevent falls and reduce the occurrence of accidental injuries among elderly patients.
    VL  - 10
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Author Information
  • Department of Rheumatology, The First Affiliated Hospital of Jinan University, Guangdong, Guangzhou, China

  • Department of Rheumatology, The First Affiliated Hospital of Jinan University, Guangdong, Guangzhou, China

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