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Assessment and management of falls 

Assessment and management of falls
Chapter:
Assessment and management of falls
Author(s):

Rob Morris

and Mohana P. Maddula

DOI:
10.1093/med/9780198713340.003.0020
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date: 07 April 2020

Falls are common among older people and are the cause of considerable morbidity, mortality, and burden to health and social care resources.

Falls are the result of a complex and dynamic interaction of multiple risk factors that individually threaten postural stability.

The strongest risk factor domains predicting the likelihood of future falls include: a previous fall, age, abnormalities of gait and balance, visual and cognitive impairment.

The assessment of older people at risk of falling relies upon comprehensive, multidisciplinary assessment to identify the component risk factors within individuals.

Successful strategies to reduce falls focus on individually tailored interventions targeting modifiable risk factors. The most effective schemes include a progressive and challenging exercise programme to improve both strength and balance.

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