Falls a common concern of seniors
This presentation is the property of its rightful owner.
Sponsored Links
1 / 42

Falls A Common Concern of Seniors PowerPoint PPT Presentation


  • 92 Views
  • Uploaded on
  • Presentation posted in: General

We offer a complimentary fall-risk and/or home safety assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550. Falls A Common Concern of Seniors. Falls: A Common Concern of Seniors. More than 1/3rd of adults 65+ fall each year in US

Download Presentation

Falls A Common Concern of Seniors

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Falls a common concern of seniors

We offer a complimentary fall-risk and/or home safety assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

FallsA Common Concern of Seniors


Falls a common concern of seniors

Falls: A Common Concern of Seniors

  • More than 1/3rd of adults 65+ fall each year in US

  • 50% of seniors that fall have fallen before

  • As the Senior population increases,

    so will the absolute number of falls


Falls a common concern of seniors

Population Growth


Falls a common concern of seniors

By Age Per Year

65- 69 22.4%

70- 74 27.9%

75- 79 31.4%

80- 84 39.6%

Who Falls?


Falls a common concern of seniors

Who Falls?

  • Women 65+ 30%

  • Men 65+ 13%

  • Gender Differences decrease after 75; at 85 Men = Women

By Sex


Falls a common concern of seniors

Community: 0.2 - 0.8 per person per year

Hospital: 0.6 - 2.9 per person per year

Long-term Care: 0.6 - 3.6

Who Falls?

By Living Environment (rates)


Falls a common concern of seniors

Fear of falling

Falls cause


Falls a common concern of seniors

Falls cause:

  • Fear of falling

  • limits activities

  • leads to decreased mobility/fitness

    - increases social isolation

    - increases actual risk of falling


Falls a common concern of seniors

Fear of falling

Increased risk of Nursing Home Placement

Falls cause


Falls a common concern of seniors

Falls cause

  • Increased risk of Nursing Home Placement

    - those 75+ who fall are 4-5x more likely to be admitted to long-term care for 1 + years


Falls a common concern of seniors

Fear of falling

Increased risk of Nursing Home Placement

Moderate to severe injuries

Falls cause


Falls a common concern of seniors

Moderate to severe injuries

- bruises,

- traumatic brain injuries

- accounts for 46% of fatal falls

- fractures: 6% of falls, including, spine, hip, leg, pelvis, ankle upper arm and hand

Falls cause


Falls a common concern of seniors

Fear of falling

Increased risk of Nursing Home Placement

Moderate to severe injuries

Increased risk of death

Falls cause


Falls a common concern of seniors

Falls cause

  • Increased risk of death

    - 15,800 annual deaths in seniors d/t fall (2005);

    1.8 Million treated in ER

  • 85% percent of deaths from falls from seniors 75

    and older

  • after 75 years, white men have highest fatality rates > white women > black men > black women

    - Men are more likely to die than women (49% higher mortality rates)


Falls a common concern of seniors

Hip Fractures in Seniors

  • 1% of falls result in hip fractures

    ($10 billion cost)

  • 350,000 senior hip fractures/year

  • 60% have restricted mobility

  • 25% remain functionally more dependent

  • 25% die within 1 year


Falls a common concern of seniors

Reasons Why Falls Occur

Intrinsic FactorsExtrinsic Factors

Normal Aging Changes

FALLS


Falls a common concern of seniors

Normal Aging Changes

Neurologic

- proprioception

reaction time

righting reflexes

Intrinsic Factors


Falls a common concern of seniors

Normal Aging Changes

Neurologic

Gait

- Slower

- Stride length and arm swing

- Body flexion & head/torso; knees shoulders forward

- Lateral sway

Intrinsic Factors


Falls a common concern of seniors

Normal Aging Changes

Neurologic

Gait

Vision

Accommodation

Dark adaptation

Intrinsic Factors


Falls a common concern of seniors

Normal Aging Changes

Neurologic

Gait

Vision

Muscle mass

Intrinsic Factors


Falls a common concern of seniors

Reasons Why Falls Occur

Intrinsic FactorsExtrinsic Factors

Normal Aging Changes

Chronic & Acute Disease

FALLS


Falls a common concern of seniors

Intrinsic Factors

Chronic Disease

  • Cataracts, macular degeneration

  • Arthritis

  • Parkinsons, Strokes

  • The “Dizzy’s”


Falls a common concern of seniors

Chronic Disease

The “Dizzy’s”

27% of seniors 65+ report during last month

37% last > 1 minute

50% of those 80 or greater that are dizzy due to Benign Positional Vertigo

Usually due to many causes:

- Meniere's disease, circulation, blood pressure drops,

- anemia, heart rhythms, anxiety/depression

Intrinsic Factors


Falls a common concern of seniors

Intrinsic Factors

Acute Illness/Confusion

  • UTI, pneumonia, diarrhea, dehydration, vomiting


Falls a common concern of seniors

Reasons Why Falls Occur

Intrinsic FactorsExtrinsic Factors

Normal Aging Changes

Chronic & Acute Disease

Trouble walking

FALLS


Falls a common concern of seniors

Trouble Walking (Dysmobility)

- Trouble walking increases with age

- > 65 y/o: 15%

- 85 y/o: 25% men; 33% women

- 2/3 of seniors in hospital/Nursing Homes

can’t walk w/o assistance

Intrinsic Factors


Falls a common concern of seniors

Reasons Why Falls Occur

Intrinsic FactorsExtrinsic Factors

Normal Aging Changes

Chronic & Acute Disease

Medications

FALLS


Falls a common concern of seniors

4+ prescriptions!

Extrinsic Factors


Falls a common concern of seniors

Medications

The big offenders

- Sedative/hypnotics

Depression/anxiety/mood-stabilizing medications

- Heart, blood pressure, seizure, incontinence, other medications

Extrinsic Factors


Falls a common concern of seniors

Reasons Why Falls Occur

Intrinsic FactorsExtrinsic Factors

Normal Aging Changes

Chronic & Acute Disease

Medications

Environment

Improper Use of Cane/Walker

FALLS


Falls a common concern of seniors

Environment

- Home hazards: bathrooms, stairs, clutter,

throw rugs, lighting, sidewalks

- "risky" behavior

Improper use of cane/walker

Extrinsic Factors


Falls a common concern of seniors

So What to Do?

Falls: A Common Concern of Seniors


Falls a common concern of seniors

Screen for Risk Factors

Do your own Home Safety Evaluation

Evaluate your activity; Exercise

Talk to your doctor

So What to Do?


Falls a common concern of seniors

Nintendo Wii Golf

So What to Do?


Falls a common concern of seniors

What your doctor will be thinking

Join exercise program

None

Ask all >= 75+

1 Fall or Balance/ Gait

>= 2 Falls or Balance/ Gait

Dx & Treat


Falls a common concern of seniors

Specific Risk Factors, Assessment, Management


Falls a common concern of seniors

Specific Risk Factors, Assessment, Management


Falls a common concern of seniors

Specific Risk Factors, Assessment, Management


Falls a common concern of seniors

Evidence shows these interventions work!


Falls a common concern of seniors

Evidence shows these interventions work!


Falls a common concern of seniors1

FallsA Common Concern of Seniors

We offer a complimentary fall-risk and/or home safety assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.


Falls a common concern of seniors

References

Center for Disease Control and Prevention, National Center for Health Statistics,

Health, United States, 2007.

“Clinical Practice”. New England Journal of Medicine 2 January 2003:41-44.

“What Causes Falls in the Elderly.” American Family Physician. 1 Apr. 2000. http://www.aafp.org/online/en/home.html


  • Login