ISSN: 1522-4821
International Journal of Emergency Mental Health and Human Resilience
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Using the Montreal cognitive assessment tool (MoCA) to improve the identification of falls risk in long term care
2nd International Conference on Mental Health & Human Resilience
Michelle A Cuttino
Villanova University, USA
Posters & Accepted Abstracts: IJEMHHR
DOI:
Abstract
Introduction: Falls are the leading cause of death due to injury among the older adult population, as well as a major contributor to the high cost of health care. The National Database of Nursing Quality Indicators (NDNQI) has identified fall incidence as an indicator of healthcare quality. Older adults with mild cognitive impairment (MCI) are twice as likely to fall as their cognitively intact counterparts. Despite this, routine MCI screening is often not a practice standard in many long term care facilities. The development of clinical guidelines and strategies to mitigate the risk of falls through the prompt identification of those most at risk is essential to quality care and resident safety. Objectives: This evidence-based project with a correlation design was conducted to determine if a relationship exists between MCI and falls risks. The goal was to implement as a practice standard the use of the Montreal cognitive assessment (MoCA) tool as a screen for MCI in a long-term care and rehabilitation facility in Philadelphia, Pennsylvania. Methods: The MoCA tool was administered to 27 subjects with a mean age of 72. Those who screened positive for MCI were evaluated for gait and balance dysfunction using the Berg balance scale (BBS). Results: 67% (n=18) were found to have MCI; of the 18 subjects with MCI: 10% (n=2) had normal gait/balance; 61% (n=11) had a low falls risk; 28% (n=5) had a moderate falls risk. Pearson芒�?�?s correlation coefficient formula was used for data analysis revealing a: strong relationship (r=0.93) between the presence of MCI and risk of falls; moderate relationship (r=0.52; 0.44) between age and MCI and age and falls risk. Conclusion: Evidence supports the routine screening supports the practice of screening for MCI upon admission to the long-term care facility based on the strong relationship between MCI and risk of falls. Early identification of residents with this established risk can provide a valuable window of opportunity for fall prevention.Biography
Email: michellecuttino@aol.com
