Management / Interventions Take a “treat what you see” approach, address underlying modifiable risk factors e.g. reduce medications with input from doctor, and use exercise to focus on balance training to prevent falls and increase self-efficacy in mobilising.
The Administration on Aging offers a number of tips on making the home safer for older adults, some of which are detailed below.
Your treatment plan may include:
What can I do?
PATIENTS CAN CONQUER THE FEAR OF FALLING WITH OCCUPATIONAL THERAPY
The FFQ-R is a 15-item self-report questionnaire for measuring fear of falling. Each item is rated on a Likert-type scale from 1 (strongly disagree) to 4 (strongly agree). The total possible score ranges from 15–60, with higher scores indicating greater fear of falling.
Ptophobia. Phobic fear of falling and its clinical management.
The most effective physical therapy approach for the prevention of falls and fractures in community-dwelling older adults is regular multicomponent exercise; a combination of balance and strength training has shown the most success.
How can we prevent falls in the elderly?
Exercising can help prevent falls because it can: Make your muscles stronger and more flexible. Improve your balance. Increase how long you can be active.
poor health. a belief that they are unable to do normal activities (low falls self-efficacy) functional decline, or a reduced ability to perform tasks associated with every day living eg. dressing themselves.
Because so many people fall every year, and more women than men fall, it’s something that healthcare professionals are screening for. So, your healthcare professional is asking if you’ve fallen 1x because they know that if you do fall the chances of you falling again is increased.
About 20–60 % of community-dwelling older adults have fear of falling, and 20–55 % report limited daily activities due to fear of falling . About 30–50 % of independently living older adults fears of falling whether or not they have previous falls .
Evidence indicates that fall prevention programs that address multiple risk factors are most effective. Among fall risk factors, leg weakness, poor balance, and taking multiple medications are especially important risks. A few targeted changes in these areas can significantly reduce the likelihood of falls.
The Johns Hopkins Fall Risk Assessment Tool (JHFRAT) was developed as part of an evidence-based fall safety initiative. This risk stratification tool is valid and reliable and highly effective when combined with a comprehensive protocol, and fall-prevention products and technologies.
Falls in turn diminish function by causing injury, activity limitations, fear of falling, and loss of mobility. Most injuries in the elderly are the result of falls; fractures of the hip, forearm, humerus, and pelvis usually result from the combined effect of falls and osteoporosis.