Falls Flashcards
1
Q
Causes of falls in older people?
A
CNS - reduced reaction time PNS - sensation and proprioception Vision - lens thickens, smaller pupils (less light) Muscle - sarcopenia Reduced level of activity
2
Q
Intrinsic risk factors for falls?
A
CVS issues Central processing - cognitive impairement MSK Neuromotor - Parkinsons, stroke Vision Female Over 80 years Low BMI Hx of falls
3
Q
Definition of orthostatic hypotension?
A
Fall in SBP >20mmHg
or
Fall in DBP >10mmHg after 3 mins of standing
4
Q
Extrinsic risk factors for falls?
A
Medication Alcohol Environment Poor lighting Inappropriate footwear Inappropriate walking aids
5
Q
Screeing questions for falls? (3 ques)
A
- Have you had 2 or more falls in the last 12 months?
- Have you presented acutely with a fall?
- Do you have problems with walking or balance?
6
Q
What are drugs commonly associated with falls risk?
A
Benzos Neuroleptics (antipsychotics) Antihypertensives Antidepressants Anticholinergics Class 1A antiarrythmics Diruretics Opiates
