Essay on Fall in Geriatrics

1301 Words Jan 4th, 2016 6 Pages
Falls are very common in the geriatric population. They are the leading cause of injury and death by injury in adults over the age of 65 years (Lee, 2013, p.37). Falls can have devastating results in the geriatric population. Fear of falling is a defined geriatric syndrome that may contribute to further functional decline in an already frail patient. When people experience something unpleasant, their natural response is an aversion to that experience. People may begin to limit their activities after a fall or as they become weaker and less agile with increasing age. This leads to a more sedentary lifestyle and physical atrophy, which further predisposes them to falls (Lee, 2013, p.37).
According to Al-Aama (2011):
A fall is a complex
…show more content…
According to Al-Aama (2011):
Independent risk factors for falling include the following (arranged in order of evidence strength): previous falls, balance impairment, decreased muscle strength, visual impairment, polypharmacy (more than 4 medications) or psychoactive drugs, gait impairment and walking difficulty, depression, dizziness or orthostasis, functional limitations, age older than 80 years, female sex, incontinence, cognitive impairment, arthritis, diabetes, and pain (p.772).
The most important step to take in preventing falls is discussing the history of falls with the patient. In 2010, the American and British geriatrics societies released updated clinical practice guidelines for fall prevention in older adults. The guidelines state that all patients age 65 years or older should be asked yearly about previous falls (Lee, 2013, p.37). These guidelines urge physicians to screen their patients yearly and implement interventions for patients at risk. Some actions should be taken to help patients that are at a high risk for falls. It is important to ask about the patient’s history of falling. It is also important to perform an assessment of the patient’s physical and functional abilities. It is also recommended to also perform an examination of their feet and footwear, their home, cognitive evaluation, and visual acuity exam.
Interventions can be used alone or combined together. There

Related Documents