Falls prevention – identification and intervention of risk factors
Authors:
Greplová Kamila
Authors place of work:
Všeobecná interní klinika LF MU a FN Brno
Published in the journal:
Clinical Osteology 2024; 29(1-2): 12-19
Category:
Summary
Falls and fall-related injuries are common in older adults, have negative effects on functional independence and quality of life and are associated with increased morbidity, mortality and health related costs. World guidelines for falls prevention and management for older adults: a global initiative were published in September 2022, which include an algorithm for fall risk stratification and patient assessment. For older people at high risk of falling, multifactorial falls risk assessment should be performed as a basis for subsequent targeted intervention. Examination should focus on history of fall, physical examination including gait assessment, balance, muscle strength, functional capacity and nutritional status assessment, fracture risk assessment, vision and hearing screening, evaluation of cognitive function, cardiology and neurological examination. According to the identified cause, the therapeutic options are determined. Preventive measures include the creating of a safe home environment, use of appropriate equipment, rehabilitation, medication review with regard to fall risk increasing drugs (FRIDs) and prevention and treatment of osteoporosis and sarcopenia.
Keywords:
falls – falls prevention – multifactorial assessment – older adults – risk stratification
Zdroje
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Štítky
Clinical biochemistry Paediatric gynaecology Paediatric radiology Paediatric rheumatology Endocrinology Gynaecology and obstetrics Internal medicine Orthopaedics General practitioner for adults Radiodiagnostics Rehabilitation Rheumatology Traumatology OsteologyČlánok vyšiel v časopise
Clinical Osteology
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