Falls prevention in older adults assessment and management
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Background Falls increase with age, with substantial patient harm resulting in high healthcare utilisation. High level evidence exists for a range of effective falls prevention strategies. Objective To provide an evidence based update of falls prevention recommendations, applicable to the primary care setting. Discussion For older adults in the community, exercise programs and vitamin D supplementation in those with deficiency are highly effective in preventing falls. Psychoactive drug withdrawal, home visits, vision optimisation and a multifactorial approach are also effective. In residential aged care, routine vitamin D supplementation is highly effective in preventing falls and fractures. General practitioners are well placed to identify those at risk of falls and implement prevention strategies utilising other healthcare professionals as required. The general practitioner's role in educating and supporting patient behaviour change is critical to the uptake of falls prevention recommendations.
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The FLASSH study: Protocol for a randomised controlled trial evaluating falls prevention after stroke and two sub-studiesBatchelor, F.; Hill, Keith; Mackintosh, S.; Said, C.; Whitehead, C. (2009)Background: Falls are common in stroke survivors returning home after rehabilitation, however there is currently a lack of evidence about preventing falls in this population. This paper describes the study protocol for ...
The 6-PACK programme to decrease falls and fall-related injuries in acute hospitals: protocol for an economic evaluation alongside a cluster randomised controlled trialMorello, R.; Barker, A.; Zavarsek, S.; Watts, J.; Haines, T.; Hill, Keith; Sherrington, C.; Brand, C.; Jolley, D.; Stoelwinder, J. (2012)Falls are a common hospital occurrence complicating the care of patients. From an economic perspective, the impact of in-hospital falls and related injuries is substantial. However, few studies have examined the economic ...
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