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Fall Prevention in Older Adults

Multidimensional management of factors that lead to falls in the elderly.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Fall Prevention in Older Adults?

Falls occur in about 30% of adults aged 65 or over each year and are a major cause of morbidity and mortality. Hip fracture, head injury and activity-limiting fear of falling are serious consequences.

Causes of falls are intrinsic (age, muscle weakness, balance disorder, vision-hearing loss, orthostatic hypotension, polypharmacy) and extrinsic (environmental hazards, footwear, walking aids).

The CDC STEADI (Stopping Elderly Accidents, Deaths and Injuries) algorithm is used for fall-risk screening. Timed Up and Go, 30-second chair stand and tandem stance are commonly used assessment tools.

Symptoms

A fall in the past year
Gait and balance disorders
Fear of falling (fall-related self-efficacy)
Muscle weakness
Dizzy spells
Visual and hearing impairment

Risk Factors

Age over 65 and female sex
Polypharmacy (four or more medications)
Psychoactive drugs
Sarcopenia and muscle weakness
Orthostatic hypotension
Dementia and cognitive impairment

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • After any fall in the previous year
  • For balance disturbance
  • When gait speed slows
  • When fear of falling limits activity
  • For a polypharmacy review

Treatment Methods

01
Multifactorial fall-risk assessment
02
Otago exercise programme or Tai Chi
03
Balance and resistance exercise (three days a week)
04
Optimise vision and hearing
05
Medication review (polypharmacy)
06
Footwear adjustment
07
Home-safety evaluation
08
Vitamin D and calcium supplementation

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.