Essay on Fall in Geriatrics
According to Al-Aama (2011):
A fall is a complex …show more content…
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