Medications and Falls in the Elderly

Ruddock, Brent

doi:10.1177/171516350413700603

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…The search terms used in the portal were derived from current studies and from scientific evidence identifying drug-related adverse reactions associated with an elevated risk of falls. These terms are related reactions linked to ADRs, acknowledging that while some may not directly cause falls, they can create conditions that lead to a fall [8][9][10].…”

Section: Populationmentioning

confidence: 99%

Medication and the Risk of Falls: An Analysis of Adverse Drug Reactions Reported to the Portuguese Pharmacovigilance System

Rodrigues,

Silvestre,

Monteiro

et al. 2023

JCM

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Falls are not always considered direct adverse drug reactions (ADRs). However, due to their mechanism of action, certain drugs increase the risk of falls. This retrospective study aimed to evaluate the association between drugs and the risk of falls. An analysis of ADR reports submitted to a national pharmacovigilance database from 1992 to 2021 was performed using terms from the MedDRA dictionary. This included the word “fall” and terms related to conditions potentially predisposing patients to falls. The analysis involved examining the sex and age distribution of the population. Reports were assessed for seriousness, the class of the suspected drug, and the characterisation of fall events when they occurred. Over this period, 2217 cases were reported, with the majority occurring among females (60.71%) and the age group of 18–64 years old (38.43%). Most reports were classified as serious across all age groups, and immunomodulators (16.78%) were the most frequently reported pharmacotherapeutic class of suspected drugs. Falls were reported as ADRs in 343 cases, with fractures being the most commonly reported injuries (24.45%). In conclusion, falls can pose a significant health problem. Therefore, continuously monitoring drugs is crucial to minimise fall-associated risk factors.

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Section: Populationmentioning

confidence: 99%

Medication and the Risk of Falls: An Analysis of Adverse Drug Reactions Reported to the Portuguese Pharmacovigilance System

Rodrigues,

Silvestre,

Monteiro

et al. 2023

JCM

View full text Add to dashboard Cite

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“…Postural hypotension causes blood pressure to drop when the person stands up; this can cause faints and falls of older adults (Cumming, 1998). Benzodiazepines and neuroleptics can have side effects of cognitive impairment, confusion, postural disturbances, sedation, dizziness, and visual disturbances (Ruddock, 2004). Polypharmacy can have many side effects that may lead to increasing risk of falls.…”

Section: Polypharmacymentioning

confidence: 99%

Increasing Fall Self-Efficacy and Awareness of Fall Risks Among Community-Dwelling Older Adults

Andersen¹,

Dinozo²,

Enrile³

et al.

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The purpose of this study was to examine the effectiveness of a modified version of the Stepping On fall prevention program in increasing fall self-efficacy and awareness of fall risks in community-dwelling older adults. Method: This research study utilized a quantitative, quasi-experimental pretest-posttest singlegroup design with a qualitative element. The fall prevention program was the intervention of this study. The Modified Falls Efficacy Scale (MFES) was a pre and post measurement tool. The Timed Up & Go Test (TUG), the Romberg test, and the Saint Louis University Mental Status Examination (SLUMS) were screening tools. Fourteen older adults aged 75 and above participated in the seven-session fall prevention program focusing on topics such as safe footwear, exercises, home hazards, medications, vision, and community mobility. Each weekly session included individualized short-term goal setting. Results: Participants reported mean MFES pretest scores of 8.61 and posttest scores of 8.14. Although scores on the MFES showed a slight decrease in participant fall self-efficacy, this was not a statistically significant finding. Researcher-developed measures showed an increase in participants' confidence in their ability to prevent falls. Participants reported they increased their weekly exercise routines and made home modifications after attending program sessions. Approximately 71% of participants reported exercising more as a result of the program and over half (64%) of participants reported making at least one home modification. Conclusion: A multifactorial, client-centered approach regarding fall self-efficacy, physical activity, and home safety can decrease fall risk and support healthy occupational engagement in everyday living. Occupational therapy can play a critical role in helping older adults in community-based settings to increase their fall self-efficacy and awareness of fall risks.

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Medications and Falls in the Elderly

Cited by 2 publications

References 12 publications

Medication and the Risk of Falls: An Analysis of Adverse Drug Reactions Reported to the Portuguese Pharmacovigilance System

Medication and the Risk of Falls: An Analysis of Adverse Drug Reactions Reported to the Portuguese Pharmacovigilance System

Increasing Fall Self-Efficacy and Awareness of Fall Risks Among Community-Dwelling Older Adults

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