TAILIEUCHUNG - Falls in the Elderly

Although there are required evacuation drills, tornado drills, and other drills depending on the area of the country, it has most often been found that there is insufficient communication and collaboration between the first responder community and those in SL/LTC settings. Full evacuations are not often performed due to resource limitations and actual risk to residents in such circumstances. Plans on paper may be insufficient to realize the cognitive and mobility constraints that make evacuation and transportation of this population very different than with younger or more physically and mentally able populations | Falls in the Elderly - April 1 2000 - American Academy of Family Physicians Page 1 of 12 Return to Previous Page APRIL 1 33C0 Celebratin American 1 PUBLISHED SY T-E AMẼRICAN ACADeVv OF tAVLY BFYifiiilAl PROBLEM-ORIENTED DIAGNOSIS Falls in the Elderly GEORGE F. FULLER COL MC USA White House Medical Clinic Washington . A patient information handout on the causes of falls and tips for prevention written by the author of this article is provided on page 2173. Falls are the leading cause of injury-related visits to emergency departments in the United States and the primary etiology of accidental deaths in persons over the age of 65 years. The mortality rate for falls increases dramatically with age in both sexes and in all racial and ethnic groups with falls accounting for 70 percent of accidental deaths in persons 75 years of age and older. Falls can be markers of poor health and declining function and they are often associated with significant morbidity. More than 90 percent of hip fractures occur as a result of falls with most of these fractures occurring in persons over 70 years of age. One third of community-dwelling elderly persons and 60 percent of nursing home residents fall each year. Risk factors for falls in the elderly include increasing age medication use cognitive impairment and sensory deficits. Outpatient evaluation of a patient who has fallen includes a focused history with an emphasis on medications a directed physical examination and simple tests of postural control and overall physical function. Treatment is directed at the underlying cause of the fall and can return the patient to baseline function. Am Fam Physician 2000 61 2159-68 2173-4. Elderly patients who have fallen should undergo a thorough evaluation. Determining and treating the underlying cause of a fall can return patients to baseline function and reduce the risk of recurrent falls. These measures can have a substantial impact on the morbidity and mortality of falls. The resultant .

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