Published on March 12, 2014
Why Do Older Adults Fall? Key Factors for Family Caregivers Leslie Kernisan, MD MPH Geriatrics for Caregivers www.drkernisan.net
What triggers a fall? Sudden challenge to balance or strength > Ability to stay on our feet A fall happens whenever a challenge to balance overwhelms our current ability to stay upright www.drkernisan.net
Why does a fall happen? Person-based risks: Balance problems Weakness Vision problems Chronic diseases Medications Environmental risks: Home hazards Outside hazards Poor footwear + Trigger: Tripping Stumbling New illness Dizzy spell Overexertion = fall www.drkernisan.net
Person-based risks • Aging of sensory & blood pressure systems • Certain types of cardiovascular and neurological disease • Arthritis • Anemia • Weakness (esp in lower legs) • Vision problems • Cognitive impairment and dementia • Many commonly used medications www.drkernisan.net
Environmental Risks • Home hazards: – Throw rugs – Poor lighting – Trip hazards (cords, pets, etc) • Outside hazards – Uneven or slippery surfaces • Footwear: – High heels; thick or slippery soles www.drkernisan.net
Calcification Inhibitors in CKD and Dialysis Patients
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