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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Cameron, I.; Dyer, S.; Panagoda, C.; Murray, G.; Hill, Keith; Cumming, R.; Kerse, N. (2018)© 2018 The Cochrane Collaboration. Background: Falls in care facilities and hospitals are common events that cause considerable morbidity and mortality for older people. This is an update of a review first published in ...
Effectiveness of complex falls prevention interventions in residential aged care settings: a systematic review.Francis-Coad, J.; Etherton-Beer, C.; Burton, Elissa; Naseri, C.; Hill, A. (2018)OBJECTIVE: The objective of this review was to synthesize the best available evidence for the effectiveness of complex falls prevention interventions delivered at two or more of the following levels: resident, facility ...
Khong, L.; Berlach, R.; Hill, Keith; Hill, Anne-Marie (2018)© 2018 Springer Science+Business Media, LLC, part of Springer Nature Falls among older adults are a major problem. Despite considerable progress in falls prevention research, older adults often show low motivation to ...