Falls Flashcards
What is a patient at risk of if they are unable to get up from a fall?
Rhabdomyolysis Hypothermia Pressure sores DVT Muscle de-conditioning Bronchopneumonia
Which groups have a higher risk of fall?
Women
Care home and hospital residents
Cognitive impairment
Give three examples of physiological ageing processes which contribute to falls
Len thickening and smaller pupils
Sarcopenia
Decrease in overall fitness
Slower reaction times
What are the 5 most common causes of syncope?
Vasovagal Arrhythmia Valve disease Orthostatic hypotension Carotid sinus hypersensitivity
Define orthostatic hypotension
Fall in SBP by >20 or in DBP >10 after 3 mins of standing
How may cervical myelopathy present?
High stepping gait
Romberg’s positive
How may peripheral neuropathy present?
Altered sensation
Wide based gait
Some dragging of feet
How may lumbar stenosis present?
Pain and paraesthesia in the legs
Wide based gait
Cerebellar signs
How may Parkinson’s disease present?
Shuffling gait Stooped over Don't lift feet Tremor Memory problems
Through which manoeuvre is BPPV diagnosed?
Dix-Hallpilke
Through which manoeuvre is BPPV treated?
Epley
Give examples of extrinsic factors which contribute to fall
Improper footwear and walking aids Pets Clutter Rugs Medication
Describe the timed up and go test
Patient gets up from chair, walks 3m, turns and comes back
Should take <10 seconds
Below which Tinetti score indicates a high risk of falls?
<=18
How many items are there in the Berg balance scale?
14