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Elderly Care medicine
Strokes
Parkinsonism
Confusion & Dementia
Dizziness & Syncope
Falls
Hypothermia
Incontinence
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Falls

Epidemiology: 1/3 or 65+ fall. 1/2 become chronic fallers

Risk Factors

  1. Environmental: Unsafe stairs, loose carpets, bathtubs w/o rails, slippery floors, lighting
  2. Drugs: Especially sedatives or those inducing postural hypotension
  3. Disease/Degenerative: Dementia, poor vision, stroke, Parkinsons
  4. Nutritional: Undernutrition, Ca & vit D deficiency
  5. Lack of exercise
  6. Behavioural
  7. Syncope

Consequences

↓Mobility: pain, stiff, weak, depression, dependence.
↓Confidence.

Clinical Workup

Examination

CVS, orthopaedic, neurological

Investigation

Treatment

  1. Treat injuries
  2. Psychological support
  3. Rehab: POSSET (physio, occupationel therapy, social-services, education)
  4. Prevention
  5. MDT
  6. Physical: balance training, elastic bands
  7. Hip protection: external fitted shock absorbing pads (but uncomfortable)
  8. Exercise
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