Fall-Risk Evaluation and Management

Fall-Risk Evaluation and Management: Challenges in Adopting Geriatric Care Practices

Autoren:

1. Mary E. Tinetti, 
2. Catherine Gordon, 
3. Ellen Sogolow, 
4. Pauline Lapin, 
5. Elizabeth H. Bradley, 

Abstract

One third of older adults fall each year, placing them at risk for serious injury, functional decline, and health care utilization. 

Despite the availability of effective preventive approaches, policy and clinical efforts at preventing falls among older adults have been limited. In this article we present the burden of falls, review evidence concerning the effectiveness of fall-prevention services, describe barriers for clinicians and for payers in promoting these services, and suggest strategies to encourage greater use of these services. 

The challenges are substantial, but strategies for incremental change are available while more broad-based changes in health care financing and clinical practice evolve to better manage the multiple chronic health conditions, including falls, experienced by older Americans.

Key words

• Falls interventions
• Falls prevention
• Fall-risk evaluation
• Medicare
• Preventive approaches

Quelle:   http://gerontologist.oxfordjournals.org/content/46/6/717.short


pdf / online im internet / Zugriff vom 06.10.2012 -

Fall-Risk Evaluation and Management: Challenges in Adopting Geriatric Care Practices

http://www.mnfallsprevention.net/downloads/the_forum.pdf

Preventing Falls in Elderly Persons

Mary E. Tinetti,

N Engl J Med 2003; 348:42-49January 2, 2003
A 79-year-old woman with a history of congestive heart failure, arthritis, depression and difficulty sleeping presents for a follow-up visit. She takes several prescription medications, including an antidepressant, a diuretic, an angiotensin-converting–enzyme inhibitor, and a beta-blocker, as well as over-the-counter sleep and allergy medications. Her chronic conditions appear to be stable. Her daughter reports that the patient has fallen twice during the past six months. What can be done to prevent future falls?

Quelle:  http://www.nejm.org/doi/full/10.1056/NEJMcp020719

pdf / online im internet / Zugriff vom 06.10.2012 -

http://www.chcr.brown.edu/PDFS/TINETTI_FALL_PREVENTION_NEJM_2003.PDF



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