The Impact of Falls on Older People: How to Assess the Risks and Implement Prevention Strategies
Falls increase with age, with approximately 25 per cent of those aged 65–74 falling per year, compared with more than 50 per cent of those aged over 90 years. Furthermore, injury patterns change with age. In those aged 65–70 years, the incidence of Colles’ fractures resulting from falls is approximately the same as the incidence of hip fracture. However, with increasing age, the proportion of hip fractures increases markedly. Hip fracture is potentially one of the worst outcomes from a fall. Fewer than half of those with a hip fracture regain pre-fracture level of function within 12 months. These figures highlight the ongoing challenge in terms of physical, psychological, and economic impacts of falling, both for ageing people and for practitioners involved in falls prevention programs. This chapter describes how to conduct a thorough falls risk assessment and debates the value of existing falls prevention programs.
- ‘The facts’
- Risk factors for falling
- Health promotion and falls prevention
- Falls risk screening tools
- Falls prevention programs