Falls

Question 1

risk factors for falling?

Answer 1

age>65
incontinence
polypharmacy +4
fear of falling
depression
postural hypotension
psychoactive drugs
cognitive impairment
balance and gait disturbances
vision problems
lower limb weakness
arthritis inlower limbs

Question 2

medications that cause postural hypotension?

Answer 2

BLAAAND
beta blockers, l dopa, ACE inhibitors, antidepressants, anticholinergic medications nitrates, diuretics

Question 3

other mechanism medications that cause falls?

Answer 3

anticonvulsants, antiphsychotics, benzodiazepines, codeine, digoxin, opiates and sedatives

Question 4

for anyone with a fall history or risk of falling what should you do?

Answer 4

turn 180 test of timed up and go test

Question 5

when should you offer a multidisciplinary assessment by a qualified clinician to all patients over 65?

Answer 5

> 2 falls in last 12 months
fall requiring medical treatment
poor performant on the turn 180/ timed up and go test