Falls Flashcards
what is the biggest risk factor for falls
polypharmacy >4!!
why are falls more significant in the elderly
higher risk of osteoporosis = higher rates of fracture!
also more likely to fall in the first place
what MSK problems increase risk of falls (2)
arthritis
sarcopenia (decreased muscle mass in elderly)
what factors are ,most significant in reducing an elderly persons balance
poor sight
poor hearing
what happens if someone is awaiting cataract surgery and they have a fall
they are fast tracked on the list
which neuro problems increase falls risk (3)
parkinsons (affects cerebellum = balance centre)
stroke
peripheral neuropathy
what cardiac issues increase risk of falls (4)
hypotension!!! common in elderly
arrhythmias
anaemia
vasovagal (neurogenic)
are men or women more susceptible for falls
women
what is the most important part of falls history taking
why
PMH falls?
if recurrent - need to do something!!!!
what is the fracture assessment tool (risk of getting a fracture)
FRAX score
management of falls
strength and balance training!!!!
appropriate footwear
glasses/hearing aid check
Tai Chi classes - if you have funding, know for exams!
management of falls if high FRAX score (fracture risk assessment)
vit D and calcium
