Falls Flashcards
1
Q
Falls implies ___
A
No loss of conciousness
2
Q
TBI is defined as ___
A
structural injury and/or physiologic disruption of brain function from blunt trauma, acceleration or deceleration forces, or exposure to blast
- characterized by
- any period of confusion, disorientation, change in consciousness, or amnesia that may or may not be transient
- observed neurologic dysfunction
- intracranial lesion
3
Q
Concussion is ___
A
- a brain injury induced by biomechanical forces
- a subset of TBI
- typically rapid onset of short-lived neurologic impairment which resolves spontaneously
- but symptoms and signs may evolve over minutes to hours and may be prolonged
4
Q
3 etiologies of fall
A
- physical decline
- polypharmacy
- environmental factors
5
Q
Is Pain a risk factors of fall
A
Yes
- > 2 locations of pain
- higher intensity
- pain interference with activity
6
Q
Which are the commonly associated meds with falls?
A
- Antipsychotics
- Sedatives
- Hypnotics (benzo)
- Antidepressant
- Antiarryhythmics (class 1A)
- Anticonvulsant
- Anxiolytics
- Antihypertensives
- Diuretics
- Systemic glucocorticoids
7
Q
When necessary to image head?
A
If focal deficits, new focal injury, any CNS etiologies
8
Q
Physical exam of fall
A
- orthostatics
- visual impairment
- nystagmus
- motion-induced imbalance
- MSK
- Neuro
- Cardio
9
Q
Prevention of Falls
A
- RF - PT, OT referral
- Environmental, Home safety
- Dx/Rx of underlining cause
