Falls and fractures in the elderly Flashcards
What % of falls result in serious injury
10%
What can occur with long-lie
Hypothermia
Pressure sores
Pneumonia
Impact of falls: medical
Increased hospitalisation Minor injuries Major injuries Hip fractures Long-lie
Impact of falls: psychological
Fear of falling Self-imposed activity restriction Loss of mobility Social isolation Depression
Impact of falls: social
Increased depenency
Increased disability
Institutionalisation
QALY stands for
Quality adjusted life years
QALY is a measure of
Measure of state of health, in terms of length of life, adjusting to reflex the quality of life
1 QALY =
1 year of life in perfect health
Costs of falling to NHS =
Bed blocking
Hip fractures
In a hip fracture, what is the classical A&E presentation
Leg is externally rotated
Avascular necrosis of femur head is due to which artery?
Median circumflex
MDT involved in fractures:
GP Surgeon Nurses Pain team OT Physio Social services
Risk factors for osteoporosis:
Age Female Previous fracture Steroids Recurrent falls Endocrine abnormalities
How to prevent falls and protect bones:
OT assessment of home Podiatry - shoes Vision Hearing Manage drug regimes Exercise and nutrition Bone density
Ex of meds used in osteoporosis
Bisphosphonates PTH (teriparatide) Densumab Calcium, Vit D HRT
