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Falls, faints, and fragility fractures 

Falls, faints, and fragility fractures
Falls, faints, and fragility fractures

Fiona Kearney

, and Tahir Masud

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date: 05 March 2021

Falls and their complications are the fifth leading cause of deaths in older adults. They typically result from the interplay of the environment, comorbidity, and age-related changes in postural stability. Recurrent falls can be debilitating in terms of physical consequences and in terms of the psychological impact of fear of falling, resulting in restriction of activity leading to a spiral of deconditioning, further loss of function, low mood, depression, and social isolation. Since some falls can be prevented, all older people in contact with healthcare professionals should be asked routinely whether they have fallen in the past year. Management requires a multifactorial approach, directed by the relevant contributors determined in the assessment process. The aim should be to prevent future falls and minimize their consequences, whilst avoiding imposing restrictions to the point that they negatively impact function, independence, and quality of life.

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