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KMID : 0828520120160030101
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Journal of the Korean Geriatrics Society
2012 Volume.16 No. 3 p.101 ~ p.107
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The Prevention of Falls
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Yang Jeong-Hee
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Abstract
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Performing a fall-related multifactorial assessment combined with multifactorial intervention are likely to reduce the rate of falls and risk of falling. To high risk group, a more comprehensive assessment is required. Multifactoral intervention means the adjusted subset of interventions that target the risk factors that have been identified through a fall risk assessment. Overall current evidences show that they reduce the rate of falls in older people living in the community. Exercise programs are effective in reducing the rate of falls. Especially, the program including balance training is more beneficial. Exercise duration needs to be long enough to obtain it benefit. Patients who have fallen should have their medication reviewed and reduction or withdrawal of the medication should be considered for all older people. Vitamin D 800 IU daily supplementation is recommended for all older adults at risk of falls. Environmental hazard assessment and modification, managing vision impairment, postural hypertension, heart rate and rhythm abnormalities, foot and footwear problems and use of assistive devices are also beneficial and recommended.
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KEYWORD
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Fall prevention, Falls, Geriatrics, Fall intervention
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