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KMID : 1024720110010010083
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Geriatric Rehabilitation
2011 Volume.1 No. 1 p.83 ~ p.90
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Classification, Risk Factor and Assessment of Fall
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Song Sun-Hong
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Abstract
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In recent years, falls were accepted as serious medical problem with aging events, and preventing of falls was focusing in controls for medical costs. Patients fall for a variety of reasons because falls have different causes. A fall classified as anticipated physiological, unanticipated physiological, and accidental falls by pattern of falls. In other side, falls classified as intrinsic or extrinsic cause. Risk factors assessment have been developed based on elderly patients. But the presence of risk factors serves as an indicators of the patient’s increasing risk of falls and provides a focus for preventative interventions. Intrinsic risk factors includes population socialogical factors (old age, female), physiological factors (decreased sense and ability for ambulation, reduced range of motion), and psychological factors (depression, fear for fall). Extrinsic risk factors includes history of drugs use, status of hospital conditions and furnitures and incomplete support devices. Common use of assessment tools for falls was Mors Fall Scale. And this scale may be more reliable tools than Bobath hospital scale and John Hopkins hospital scales. Morse Fall Scale includes six items; history of falling, secondary diagnosis, ambulatory aids, intravenous therapy, gait, mental status. For preventing of falls, we have to assess exactly risk factor and establish the strategy of preventing processes.
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KEYWORD
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Assessment, Fall, Risk factor, Scale
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