Medication interventions for fall prevention in the older adult

Cooper, James W.; Burfield, Allison H

doi:10.1331/japha.2009.09044

Cited by 20 publications

(25 citation statements)

References 37 publications

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“…In 5% to 15% of cases, the fall will result in severe trauma or even death [1], [2]. Several risk factors for falls have been identified; they include diseases (e.g.…”

Section: Introductionmentioning

confidence: 99%

“…Several risk factors for falls have been identified; they include diseases (e.g. neurological, cardiovascular, gastrointestinal and metabolic diseases), sensory impairments (particularly visual impairments), muscle- and joint-related problems, the lack of attentiveness associated with anxiety or depression and the effects of certain medications [1], [3]. The biomechanical causes of loss of balance have also been extensively investigated [4], [5].…”

Section: Introductionmentioning

confidence: 99%

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In the Elderly, Failure to Update Internal Models Leads to Over-Optimistic Predictions about Upcoming Actions

2013

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Before an action is performed, the brain simulates the body's dynamic behavior in relation to the environment, estimates the possible outcomes and assesses the feasibility of potential actions. Here, we tested a hypothesis whereby age-related changes in sensorimotor abilities result in failure to update internal models of action in the elderly. Young and older adults were required to judge in advance whether or not they could stand on an inclined plane (Experiment 1). Relative to young adults, elderly adults overestimated their postural capabilities: although the two groups made similar feasibility judgments, elderly participants showed significantly worse postural performance levels. This tendency to overestimate their own ability persisted when elderly adults had to not only estimate the feasibility of an action but also endanger themselves by walking towards an obstacle that was too high for them to clear (Experiment 2). An age-related failure to update internal models may prompt the elderly to make over-optimistic predictions about upcoming actions. In turn, this may favor risky motor decision-making and promote falls.

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“…In 5% to 15% of cases, the fall will result in severe trauma or even death [1], [2]. Several risk factors for falls have been identified; they include diseases (e.g.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

In the Elderly, Failure to Update Internal Models Leads to Over-Optimistic Predictions about Upcoming Actions

2013

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“…In addition to offering MTM, pharmacists are well positioned to aid the health-care team in conducting other fall prevention services (42). A pharmacist, in collaboration with the primary care provider, can screen patients using a standardized protocol to determine fall risk, complete a thorough medication review, and recommend vitamin D supplementation (when appropriate).…”

Section: Clinical Fall Prevention As a Team-based Approachmentioning

confidence: 99%

The Role of Pharmacists in Preventing Falls among America’s Older Adults

Karani

Haddad

Lee

2016

Front. Public Health

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Falls are the leading cause of both fatal and non-fatal injuries in people aged 65 years and older and can lead to significant costs, injuries, functional decline, and reduced quality of life. While certain medications are known to increase fall risk, medication use is a modifiable risk factor. Pharmacists have specialized training in medication management and can play an important role in fall prevention. Working in a patient-centered team-based approach, pharmacists can collaborate with the primary care providers to reduce fall risk. They can screen for fall risk, review and optimize medication therapy, recommend vitamin D, and educate patients and caregivers about ways to prevent falls. To help health-care providers implement fall prevention, the Centers for Disease Control and Prevention developed the Stopping Elderly Accidents, Deaths, and Injuries (STEADI) initiative. Based on the established clinical guidelines, STEADI provides members of the health-care team, including pharmacists, with the tools and resources they need to manage their older patients’ fall risk. These tools are being adapted to specifically advance the roles of pharmacists in reviewing medications, identifying those that increase fall risk, and communicating those risks with patients’ primary care providers. Through a multidisciplinary approach, pharmacists along with other members of the health-care team can better meet the needs of America’s growing older adult population and reduce falls.

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“…Third, a case study on the Welsh situation will be described, setting out strengths and also development areas. The issues have broad relevance to health and social care staff who can play a role, including pharmacists (Cooper and Burfield, 2009), surgeons and general practitioners (Orcel and Funck-Brentano, 2011) and nursing home managers (Quigley et al, 2010). This illustrates that a broad range of stakeholders have roles to play in this agenda.…”

Section: Introductionmentioning

confidence: 99%

Falls and fractures: a literature review and Welsh perspective

Morgan

2013

Working With Older People

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2013),"Evidence-based campaigning on loneliness in older age: an update from the Campaign to End Loneliness", Working with Older People, Vol. 17 Iss 4 pp. 146-156 http://dx.Access to this document was granted through an Emerald subscription provided by emerald-srm:368933 [] For AuthorsIf you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. AbstractPurpose -This paper has three main elements to it. The first is to present some of the epidemiological considerations of this situation. The second is to describe some of the risk factors and by extension, the interventions that might be helpful. Third, a case study on the Welsh situation will be described. Design/methodology/approach -This paper draws from the published literature and combines this with the professional experience of the author in Wales. Epidemiological calculations are presented using readily available data and summarised diagrammatically. Findings -Falls and fractures constitute a significant public health challenge due to the number of individuals affected and the seriousness of impacts. Risk factors, such as vitamin D deficiency, are open to modification and interventions such as exercise are also helpful. In Wales, policy could be geared to improving the response to this, such as an expansion of cost saving fracture liaison services. Originality/value -This paper draws together a diverse literature to help develop policy in Wales.' Falls and fractures represent a substantial and serious public health challenge. ' There are opportunities for early intervention strategies to be implemented.' General health promotion messages could also be expanded to this situation.' Bone health is an important additional element that needs to be considered. ' A wider knowledge of falls, fractures and bone health may also be beneficial. ' Conversion of evidence into practice and vice-versa is an important matter.' Coherence within and between falls, fractures and bone health policy is needed.

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Medication interventions for fall prevention in the older adult

Cited by 20 publications

References 37 publications

In the Elderly, Failure to Update Internal Models Leads to Over-Optimistic Predictions about Upcoming Actions

In the Elderly, Failure to Update Internal Models Leads to Over-Optimistic Predictions about Upcoming Actions

The Role of Pharmacists in Preventing Falls among America’s Older Adults

Falls and fractures: a literature review and Welsh perspective

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