The Relationship Between Community Dwelling Older Adult’s Fall Risk and Beliefs of Risk for Falling in Northwest Arkansas and Bolgatanga, Ghana.

Title: The Relationship Between Community Dwelling Older Adult’s Fall Risk and Beliefs of Risk for Falling in Northwest Arkansas and Bolgatanga, Ghana. Gohman, N., Patton, S., Smith-Blair, N., Agana, C.: University of Arkansas, Fayetteville, AR Background: Older adults worldwide live with comorbidities, physical and psychological changes associated with aging. Statistically, however, older adults are more likely to die as a result of falling. As the worldwide population of individuals over 65 rises, so will the possibility for injuries from falls. Much research has been published concerning fall risk prevention, but minimal research surrounding protocols and practices for protecting against falls in developing countries has been published. Purpose: Evaluate and compare the relationship between community dwelling older adult’s fall risk and their perceived risk of falling in a developed and a developing country. Methodology: The study sample consisted of 35 participants, selected at random. A mixed method approach was used. Semi-structured interviews based on constructs of the Health Belief Model measured perceived fall risk. Risk factors for falls were determined using the Center for Disease Control (CDC) STEADI fall risk assessment tool. Results: The average age of all participants was 73 years, with 30% from NW Arkansas and 70% from Ghana. Eight subjects reported falling within the past year. The majority of subjects reported their chance of falling as low. When asked about confidence level to prevent falling, mixed reactions ranging from laughing, being concerned, to being serious were documented. Many older adults realized the complications falling would have on their physical well being, as well as the increase in burden and negative emotional effect on the caregiver. There was an overall lack of knowledge by the general population of what to do to prevent falling. The biggest barrier reported by participants to prevent falling was the layout of homes and buildings, the physical outside environment, and lack of lighting to see. There was a lack of knowledge to knowing prevention strategies, as the only benefit stated was the individual would not fall. Discussion/Results: According to the results of the STEADI assessment, only 1 out of 35 participants actually passed the fall risk assessment. There is a lack of knowledge about falling, therefore individuals were confident that they could prevent falling despite results showing their high fall risk. More people were confident in Northewst Arkansas that they could prevent falls compared to Ghana. By 2050, the global population of adults over the age of 60 is expected to reach nearly 2.1 billion, with two thirds residing in developing countries. Results from this study indicate that many older adults believe that they have low chance of falling even when their risk is high. Global awareness is needed about the seriousness of falls in this population and for prevention that will reduce injury and hospital admissions

Concert recording 2015-04-16

[Track 01]. Exultate / Giovanni Gabrielli ; translated by V. Reynolds -- [Track 02]. Only begotten son (Hymn of Justinian) / Alexander Gretchaninoff ; translated by D. Calhoun -- [Track 03]. Hansel and Gretel (chorale prelude) / Engelbert Humperdinck ; Arr. J. Kirschen -- [Track 04]. Chasing Diana / John Cheetham -- [Track 05]. Fleurs melodiques des Alpes, no. 6 / Franz Liszt ; translated by H. Jeurissen -- [Track 06]. Sextet for horns / Gregory Kerkorian -- [Track 07]. Rocky road rag / Lewis Songer -- [Track 08]. I saw three ships (traditional English Christmas carol) / arranged by Matt Land

Concert recording 2018-02-19

[Track 1]. The barber of Seville overture / Gioachino Rossini arranged by Hutchison -- [Track 2]. Capriccio for tuba and marimba / William Penn -- [Track 3]. Galgenlieder, op. 129. I. Das Geburtslied [Track 4]. II. Das Hemmed [Track 5]. III. Die zwei Wurzeln IV. Die Luft [Track 6]. V. Fisches Nachtgesang (tuba solo) [Track 7]. VI. Igel und Agel [Track 8]. VII. Die beiden Esel [Track 9]. VIII. Das Gebet / Jan Koetsier -- [Track 10]. Concerto per tuba e 4 corni. I. Introduction - allegro [Track 11]. II. Adagio [Track 12]. III. Allegro con spirito / Corrado Maria Saglietti -- [Track 13]. David and Goliath / Mike Forbes

Concert recording 2018-02-09

[Track 1]. Marche á huit instrumens á vent / Nannette Streicher -- [Track 2]. Dixtuor pour instruments á vent. I. Allegro moderato II. Moderato [Track 3]. III. Andante - Allegro scherzando [Track 4]. IV. Cantabile [Track 5]. V. Allegro risoluto / Claude Arrieu, née Louise Marie Simon -- [Track 6]. Octet for windinstruments / Tera de Marez Oyens -- [Track 7]. The unfortunate traveller, suite for brass band. I. Introduction II. Scherzo [Track 8]. III. Interlude [Track 9]. IV. March / Imogen Holst

Concert recording 2017-05-04b

[Track 1]. Fanfare for the common man / Aaron Copland -- [Track 2]. Bach Buch / J.S. Bach translated by Pann -- [Track 3]. Highway musings / Ryan Key -- [Track 4]. Serenade in D minor / Antonín Dvorák