Falls n' Such Flashcards
The frequency of pt falls are high in what populations?
Those in nursing homes or hospitalized
What are the two very broad injuries that can occur with falling?
Physical and fear of falling
What are intrinsic factors?
Facts that are specific to a single pt
What are extrinsic factors?
Environmental hazards
What are the three things that it takes to know a pt well?
med list
prob list
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What are the age related gait changes? (for both, men, and for women)
Decreased height of steps
Narrow waddling in women
Wide, short step gait in men
What is the DEMENTIAS mnemonic?
Drugs Emotional difficulties Metabolic derangements Endocrine disease Nutritional probs Trauma and tumor Ischemia/infx Anemia/arrhythmia Social, sensory, spiritual
What are the most common extrinsic factors for falling?
Loose rugs
Slippy floor
Poor lighting
What percent of falls are related to stairways?
10%
Is falling a symptom or a diagnosis?
Symptom
What are the two intrinsic factors have been shown to lower fall rates?
Lower extremity strength
Exercise for balance
What is the major risk factor for fractures?
Osteoporosis
What is the most common cause of osteoporosis?
Aging
What are the ages for men and women for dexa scans?
65 for women
70 for men
What is the effect of PTH on bone?
Draws Ca from bone, to increase plasma [Ca]