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Revista Brasileira de Geriatria e Gerontologia
Print version ISSN 1809-9823
MALLMANN, Danielli Gavião; HAMMERSCHMIDT, Karina Silveira de Almeida and SANTOS, Silvana Sidney Costa. Assessment instrument for elderly falls (IAQI): nurses analyzing vulnerability and fragility. Rev. bras. geriatr. gerontol. [online]. 2012, vol.15, n.3, pp.517-527. ISSN 1809-9823. http://dx.doi.org/10.1590/S1809-98232012000300012.
Qualitative research aiming to develop an evaluation tool for falls in elderly, used as support for the nursing process in the Family Health Strategy (FHS), considering the vulnerability and fragility of these people for falls. We conducted evaluation of the items that make up the multidimensional assessment protocol for the elderly, selecting those that suited the purpose of the Assessment Instrument for Elderly Falls (IAQI), created within this research work, and excluding those who had no direct relation to the falls in the elderly, arguing their exclusion. Data was analyzed by reading the items in the multidimensional assessment protocol for the elderly, identifying the specific clinical findings related to falls. After the creation of IAQI, an expositive flowchart presented its origin, with the selected items to the composition of IAQI: identification, chief complaint, review of major physiological systems; assessment of global functionality, current and past personal history, environmental assessment, primary diagnoses, including diagnosis / problems and functional diagnosis, plan of care. This tool may help assessing the vulnerability and fragility of the elderly to falls, and be used to underscore the assessment of the nurse's who work in the FHS. The ultimate purpose of this study was to provide students and teachers, the possibility of using the instrument in their clinical practice in the the FHS, in order to better care of the elderly.
Keywords : Aged; Vulnerability; Injuries from falls; Geriatric nursing; Clinical protocols.