Falls Flashcards
what is the top cause of unintentional injury in older adults
falls
why might people not talk about their falls
put somewhere
thought to be a normal aspect of aging
not aware of the fall risk factors
what do fall often cause
hip fractures
what is the lead cuase of TBI
falls
what leads to complex system failure
new disease
exabartion of old disease
moderate impairment in multible domains
what are the three major component to fall prevention
screening
comprehensive exam
intervention
what are some fall based questions
have you fallen in the past year
- where you injured
- how many times
re you afraid of falling
do you feel unsteady when walking or standing
absolute - needs a fall risk assessment
more or equal to 2 falls this year
gait balance difficulties
fall - ER or medical visit
recommended - - needs a fall risk assessment
single fall in the last year
+
abnormal gait or unsteady
not needed - needs a fall risk assessment
no fall or single fall in the last year
no gait or balance difficulties
what are some person specific risk factors seen with fall
non-modifiable
age
sex
race
history of falls
what are some person specific risk factors seen with fall
modifiable
postural control
medication that increase fall risk
foot issues/footwear
vit D deficiency
falling once increases what
the risk of another fall
this is the number one predictor of more falls
what is beers criteria list
potential inappropriate medication for older adults
what co-morbities can contribute to falls
depression
UI
what three factor go into postural control
sensory
central processing
effector
visual effectors of falls
VF deficit
vision - dark adaptation difficulties
what is proprioception
do your feet and body know where they are in space
what are the sym of impaired propriorception
unsure
dizzy
unsteady in the dark
what are some causes of decreased proprioception
neuropthy - DM, chemo
what are some treatment considerations for those with proprioception deficicts
increase lighting
hared soled shoes
what does central processing effect
the speed and timing of movement
what are the signs of a central processing issue
AMS
slow foot tapping
slowed right reflex
what are the causes of central processing issue
meds
disease - delirum, dem
what is a treatment ocnsideration for those with central processing issue
simplfy the enviroment
what is the righting reflex
timber reactions
when this is messed up there is no protective responses
