B6.075 Prework 2: Management of Falls in Older Persons

Question 1

history of falls relationship to future falls

Answer 1

one of the biggest predictors

2-6 fold increase

Question 2

strongest modifiable risk factors for falls

Answer 2

balance impairment
gait impairment
muscle weakness

Question 3

fear of falling

Answer 3

can result in a downward cascade of events leading to social isolation and loss of function, as well as more falls

Question 4

what to ask patients >65 annually

Answer 4

whether they have fallen
number of falls
whether they have difficulty walking or with balance

Question 5

multifactorial interventions in the community setting

Answer 5

exercise program (muscles, gait, and balance)
home environment modification
minimization of meds
management of postural hypotension, footwear, and foot problems

Question 6

single intervention in the community setting

Answer 6

monitor patients progress toward improving home safety
reducing meds
800 IU vit D per day
exercise programs

Question 7

meds with fall and fracture risk

Answer 7

antidepressants
antihypertensives
antipsychotics
benzos
cholinesterase inhibitors
diuretics
NSAIDs
sedatives and hypnotics

Question 8

interventions to reduce fall related injuries

Answer 8

1200 mg Ca
800 IU vit D
bisphosphonates for up to 5 years