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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

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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 assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

  • 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


Population Growth assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.


By Age Per Year assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

65- 69 22.4%

70- 74 27.9%

75- 79 31.4%

80- 84 39.6%

Who Falls?


Who Falls? assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

  • Women 65+ 30%

  • Men 65+ 13%

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

By Sex


Community: 0.2 - 0.8 per person per year assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

Hospital: 0.6 - 2.9 per person per year

Long-term Care: 0.6 - 3.6

Who Falls?

By Living Environment (rates)


Fear of falling assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

Falls cause


Falls cause: assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

  • Fear of falling

  • limits activities

  • leads to decreased mobility/fitness

    - increases social isolation

    - increases actual risk of falling


Fear of falling assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

Increased risk of Nursing Home Placement

Falls cause


Falls cause assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

  • 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


Fear of falling assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

Increased risk of Nursing Home Placement

Moderate to severe injuries

Falls cause


Moderate to severe injuries assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

- 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


Fear of falling assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

Increased risk of Nursing Home Placement

Moderate to severe injuries

Increased risk of death

Falls cause


Falls cause assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

  • 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)


Hip Fractures in Seniors assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

  • 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


Reasons Why Falls Occur assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

Intrinsic FactorsExtrinsic Factors

Normal Aging Changes

FALLS


Normal Aging Changes assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

Neurologic

- proprioception

reaction time

righting reflexes

Intrinsic Factors


Normal Aging Changes assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

Neurologic

Gait

- Slower

- Stride length and arm swing

- Body flexion & head/torso; knees shoulders forward

- Lateral sway

Intrinsic Factors


Normal Aging Changes assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

Neurologic

Gait

Vision

Accommodation

Dark adaptation

Intrinsic Factors


Normal Aging Changes assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

Neurologic

Gait

Vision

Muscle mass

Intrinsic Factors


Reasons Why Falls Occur assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

Intrinsic FactorsExtrinsic Factors

Normal Aging Changes

Chronic & Acute Disease

FALLS


Intrinsic Factors assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

Chronic Disease

  • Cataracts, macular degeneration

  • Arthritis

  • Parkinsons, Strokes

  • The “Dizzy’s”


Chronic Disease assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

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


Intrinsic Factors assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

Acute Illness/Confusion

  • UTI, pneumonia, diarrhea, dehydration, vomiting


Reasons Why Falls Occur assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

Intrinsic FactorsExtrinsic Factors

Normal Aging Changes

Chronic & Acute Disease

Trouble walking

FALLS


Trouble Walking (Dysmobility) assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

- 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


Reasons Why Falls Occur assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

Intrinsic FactorsExtrinsic Factors

Normal Aging Changes

Chronic & Acute Disease

Medications

FALLS


4+ prescriptions! assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

Extrinsic Factors


Medications assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

The big offenders

- Sedative/hypnotics

Depression/anxiety/mood-stabilizing medications

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

Extrinsic Factors


Reasons Why Falls Occur assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

Intrinsic FactorsExtrinsic Factors

Normal Aging Changes

Chronic & Acute Disease

Medications

Environment

Improper Use of Cane/Walker

FALLS


Environment assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

- Home hazards: bathrooms, stairs, clutter,

throw rugs, lighting, sidewalks

- "risky" behavior

Improper use of cane/walker

Extrinsic Factors


So What to Do? assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

Falls: A Common Concern of Seniors


Screen for Risk Factors assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

Do your own Home Safety Evaluation

Evaluate your activity; Exercise

Talk to your doctor

So What to Do?


Nintendo Wii Golf assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

So What to Do?


What your doctor will be thinking assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

Join exercise program

None

Ask all >= 75+

1 Fall or Balance/ Gait

>= 2 Falls or Balance/ Gait

Dx & Treat


Specific Risk Factors, Assessment, Management assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.


Specific Risk Factors, Assessment, Management assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.


Specific Risk Factors, Assessment, Management assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.


Evidence shows these interventions work! assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.


Evidence shows these interventions work! assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.


Falls a common concern of seniors1
Falls assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.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.


References assessments to our managed care seniors.  Please call our Wellness Center at 760-969-6550.

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


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