Thomson, Diane and Myrsep, Anja (2018) Housebound patients' experiences of a falls service provided by a team of community physiotherapists. International Journal of Therapy and Rehabilitation, 25(12), pp. 636-647. ISSN (print) 1741-1645
Abstract
Background/ aims: To explore the experiences of patients of a falls service provided by a community physiotherapy team to elderly, housebound people who have fallen. Methods: Six housebound, elderly patients who had been referred to the service were interviewed in their own homes. The interviews were transcribed and a thematic analysis framework was used to analyse the data. Codes were identified and developed into key themes which addressed the overall research question. Results: The analysis revealed that the participants presented with multiple risk factors including recurrent falls and comorbidities and were at high risk of falls. Exercise was understood to increase their mobility and the majority expressed a fear of falling. They appeared to have a limited understanding of the referral process, the cause of their falls and the interventions that may reduce their risk of falling. Conclusions: A multidisciplinary falls team, established and recognised as a central point of referral for the care of people who have fallen could enhance the care of elderly, housebound people who have fallen. The team with their specialist knowledge and understanding of the multifactorial nature of falls and appropriate interventions could co-ordinate and monitor the assessments and interventions needed with the relevant professionals and services.
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