Doing exercise that improves strength and balance and eliminating unnecessary medications are two top recommendations for preventing falls among older people, according to the first updated geriatric guidelines released in nearly a decade. (MyHealthNewsDaily)
Falls among older people are as serious a health problem as heart attacks and strokes, said Dr. Mary Tinetti, who worked on the new guidelines and directs the Yale Program on Aging.
The guidelines also stress that fall screening and prevention should be integrated into all health care for older adults. Doctors should ask if their older patients have recently fallen, or if they are unsteady walking, the researchers said. (Please note that every patient over 60 in our practice is screened for falls on their first visit. Taking two or more medications IS a risk factor for falling).
“People fall because of the cumulative effects of multiple problems,” Tinetti, told MyHealthNewsDaily. “I think we clarified specifically who should get fall risk assessment and management. I think the first (guidelines were) rather vague.”
The first guidelines were issued in 2001. In 2010, a panel of researchers from the American and British Geriatrics Societies devised a new, multi-pronged approach to fall prevention. A summary of those guidelines were published (Jan. 13) in the Journal of the American Geriatrics Society.
About one-third of the 36 million Americans who are age 65 or older fall each year, said Deanna Gray-Miceli, assistant professor and director of gerontological nursing programs at Rutgers University in New Jersey. But most falls don’t result in serious injuries, and thus go unreported, she said.
“We’re seeing the tip of the iceberg, not the true incidence,” said Gray-Miceli, whose research has focused on fall prevention in the elderly.
The new recommendations emphasize exercise that involves balance, gait and strength training, such as physical therapy or tai chi, a Chinese martial art incorporating gentle motions and stretching. Walking every day is also a valuable activity, the researchers said.
“We know that remaining physically active is an important piece of reducing your fall risk,” said Dr. Sharon Brangman, a geriatrician in Syracuse, N.Y., and president of the American Geriatrics Society.
At Kaizen Total Wellness we not only screen for falls but we actually do something about it in our safe, physician and physical therapist supervised programs.
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