Lack of Exercise May Cause Falls in the Elderly Essay

1914 Words Apr 22nd, 2013 8 Pages
Lack of Exercise May Cause Falls in the Elderly
Problem Section
Falls are a major source of death and injury in elderly people. For example, they cause 90% of hip fractures and the current cost of hip fractures in the US is estimated to be about 10 billion dollars (Kato, Izumi, Hiramatsu, & Shogenji, 2006). Ensuring patient safety is one of the main reasons given for use of restraints. However, according to Jech (2006), the use of physical restraints is unlikely to prevent falls. Physical restraints, such as tie-down restraints, wheelchair belts, or bed rails are used to keep the patient safe, to keep patients from wandering off, falling, or if they are being combative. Also, it does not necessarily follow that using restraints in
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Among the autopsies conducted over the period of the study, there were 26 cases of death while the individual was physically restrained. Three of these cases involved patients who died of natural causes while restrained, and one was a suicide. The remaining 22 deaths were caused solely by physical restraint; all of them occurred in patients under nursing care who were not continuously observed. The immediate cause of death was strangulation (11 cases), chest compression (8 cases), or dangling in the head-down position (3 cases). In 19 of these
22 patients, the restraints were incorrectly fastened, including two cases in which improvised non-standard restraints were used. One nursing-home patient died because of an abdominal restraints even
LACK OF EXERCISE MAY CAUSE FALLS IN THE ELDERLY 4 though it had been correctly applied she was mobile enough to slip through the restraint till it compressed her neck, and then unable to extricate herself from it, so that she died of strangulation (Berzlanovich, Schöpfer, & Keil, 2012). An important point is that the exercise program, although without a heavy load, is effective for prevention of falls among frail elderly persons, so it can be implemented in another geriatric

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