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PICOT Question:
In geriatric patients, how does at home physical therapy compared to no physical therapy treatments affect fall rates?
Please find 3 studies related to this PICOT question and synthesize them into attached synthesis tables.
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Assignment highlights:
Research a clinically focused health problem related to the care of older adults. Content should be reflective of the current understanding of the approach to a particular healthcare problem including the most current evidence-based treatment according to published research, guidelines or standards. A clinical problem is presented in PICOT format. Search the evidence and obtain three articles, using different research engines related to the PICOT question. Utilize three research engines, ie. PubMed, CINAHL, Cochran, etc… Articles cannot be duplicates. Once the evidence has been searched, synthesize the data by completing the synthesis tables. Based on the synthesis of the data, recommendations are made regarding the PICOT question.
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These three studies are already applied in synthesis tables and can’t be used:
1. Liu-Ambrose, T., Davis, J. C., Best, J. R., Dian, L., Madden, K., Cook, W., Hsu, C. L., & Khan, K. M. (2019). Effect of a Home-Based Exercise Program on Subsequent Falls Among Community-Dwelling High-Risk Older Adults After a Fall: A Randomized Clinical Trial. JAMA, 321(21), 2092–2100. https://doi.org/10.1001/jama.2019.5795
2. Arena, S. K., Wilson, C. M., Boright, L., & Peterson, E. (2021). Impact of the HOP-UP-PT program on older adults at risk to fall: a randomized controlled trial. BMC Geriatrics, 21, 1-13. https://doi.org/10.1186/s12877-021-02450-0
3. Fairhall, N., Sherrington, C., Lord, S. R., Kurrle, S. E., Langron, C., Lockwood, K., Monaghan, N., Aggar, C., & Cameron, I. D. (2013). Effect of a multifactorial, interdisciplinary intervention on risk factors for falls and fall rate in frail older people: a randomised controlled trial. Age And Ageing, 43(5), 616–622. https://doi.org/10.1093/ageing/aft204
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