falls in elderly Flashcards

1
Q

epidemiology of falls

A

35-40% of persons age 65 y/o and over fall in a given year
50% of persons aged 80 y/o and older fall in a year
8% of ppl aged 65+ visit the ED due to fall related injury
Falls account for 87% of all fractures

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2
Q

risk factors for falls

A
Gait/Balance deficit
Visual deficit
Hearing deficit
Musculoskeletal impairment
Neurologic/Cognitive impairment
Depression
Use of Assistive devices
Medications
Age>80y/o
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3
Q

intrinsic risk factors for falls

A
Muscle weakness
Gait and balance disorders
Poor vision
hypotension(med related?)
Behavioral
Psychotropic drugs,   diuretics,
4+ medications
Risky behaviors
Inactivity
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4
Q

medications and association with falls

A
Use of > 4 medications increase risk of falls
Cognitive functioning 
Electrolyte balance
Blood pressure
Dizziness 
Fatigue
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5
Q

how to reduce the risk of falls

A
Repair uneven pavement
Install railings 
Keep shrubbery trimmed
Remove throw rugs
Remove clutter
Keep cords near walls
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