Fall Prevention in the Elderly || Questions and 100% Accurate Answers.
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Course
Fall Prevention in the Elderly |
Institution
Fall Prevention In The Elderly |
Describe the prevalence of falls correct answers Very prevalent
1 out of every 3 independently living adults 65 and older fall at least once a year....most do NOT tell their provider
Who dies from falls? correct answers 82% of deaths from falls are in the 65 and older population
What perce...
Fall Prevention in the Elderly || Questions and 100%
Accurate Answers.
Describe the prevalence of falls correct answers Very prevalent
1 out of every 3 independently living adults 65 and older fall at least once a year....most do NOT
tell their provider
Who dies from falls? correct answers 82% of deaths from falls are in the 65 and older population
What percentage of patients who fall get injured? correct answers 20-30 %
Who gets admitted for call related injuries? correct answers 1 in 4 elderly patients seen in the ED
for fall
What is the leading cause of injury related death and disability in the elderly? correct answers
FALLS
How much do falls cost the healthcare system? correct answers 200 million for fatal injuries
19 billion for non fatal injuries
What is the number one cause of TBI in the elderly? correct answers FALLS
in 2008 46% of fatal falls were due to TBI
What is the most common cause of fractures in the elderly? correct answers FALLS
ay fracture: spine, hip, ulnar/radial, femur, ankle, pelvis
What is a concerning outcome of falls that do not cause injury? correct answers patient may
develop a fear of falling and limit their activities
What happens to underlying comorbidities after a fall? correct answers they are still present and
likely worse
What are the demographic risk factors for falls? correct answers -age (especially >75)
-caucasian
-housebound
-living alone
What are the historical risk factors for falls? correct answers -previous falls
-use of assistive device: cane, walker
-acute illness
-chronic conditions (especially neuromuscular such as Parkinson's)
-medications (especially >4 prescription meds)
, -nutritional deficiencies: Vitamin D/Calcium, protein
What are the physical risk factors for falls? correct answers -cognitive deficits
-reduced vision
-presbycusis
-difficulty rising from a chair
-foot problems
-age related neurologic changes
What are the age related neurologic changes? correct answers -prolonged reaction time
-diminished sensory awareness
-decline of the central integration of vestibular, sensory and proprioceptive information
What are some other risk factors for falls? correct answers ENVIRONMENTAL HAZARDS
(ex. think hoarder)
What fall related issues should be included in the HPI of an elderly patient? correct answers Ask
about: living situation, depression, social network, previous falls, balance problems ("dizziness"),
able to perform ADLs independently, appetite, diet
Look for history of: diabetes, stroke, cardiovascular disease, diminished sensory input, recent
illness, memory problems
number of medication
What does the "I HATE FALLING" mnemonic stand for? correct answers *I*nflammation of
joints (or joint deformity)
*Hypotension* (orthostatic pressure changes)
*A*uditory and visual abnormalities
*T*remor (Parkinson's disease or other causes)
*E*quilibrium (balance) problems
*F*oot problems
*A*rrhythmia, heart block or valvular disease
*L*eg-length discrepancy
*L*ack of conditioning (generalized weakness)
*I*llness
*N*utrition (poor appetite; wt loss)
*G*ait disturbance
What are the 6 risk factor for falls that are used in the Morse fall risk assessment tool? correct
answers -History of falls
-Secondary diagnosis
-Ambulatory Aid
-IV/Heparin lock
-Gait/Transferring
-Mental Status
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