WESSEX BGS Meeting, October 5th 2001 Comprehensive geriatric assessment Part 1 - eLearning Site of APLCGG

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WESSEX BGS Meeting, October 5th 2001 Comprehensive geriatric assessment Part 1 (1:10:37)

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標題

1. Falls of older people – prevention and management

2. Falls of older people – prevention and management

3. Development of Falls as a focus

4. Definitions …a fall is

5. Definitions …a fall is

6. Syncope (i.e. faint) (Greek “To cut off”)

7. Orthostatic hypotension

8. Fragility (minimal trauma) fracture

9. Falls – Some Observational Data

10. Falls – Some Observational Data

11. Falls: Consequences

12. Why are humans prone to falls?

13. Risk factors: metaanalysis, 16 studies

14. The individual fall as an event at the end of a common pathway

15. What type of fall ?

16. Postural instability

17. Classification of gait disorders

18. Tools to assess gait and balance

19. Berg Balance Test

20. Tools to assess gait and balance

21. Timed up and go test

22. Evidence for prevention of falls

23. Falls Prevention trials -types

24. Multifactorial intervention for risk group identified in community healthcare

25. Multifactorial intervention -at risk group attending A&E in London.

26. Single Intervention – Otago Exercise Programme

27. Otago Exercise Meta-analysis

28. But prevention programmes do not always work!!

29. Single Intervention – Otago Exercise Programme

30. Multifactorial intervention -at risk group attending A&E in London.

31. Otago Exercise Meta-analysis

32. But prevention programmes do not always work!!

33. Single Intervention – Otago Exercise Programme

34. Otago Exercise Meta-analysis

35. But prevention programmes do not always work!!

36. 3 centre RCT of day hospital multifactorial intervention in screened high risk population (Conroy S et al, Age Ageing 2010) (1)

37. 3 centre RCT of day hospital multifactorial intervention in screened high risk population (Conroy S et al, Age Ageing 2010) (2)

38. Cochrane Systematic Review 2009Gillespie LD et al

39. Prevention trials -conclusions

40. Prevention of falls at a population level needs a strategic approach

41. Who falls?

42. Issues in deciding a strategy

43. Population based prevention strategies to address modifiable risk factors

44. Poly-pharmacy and falls

45. Prevention for the frail population – at moderate risk

46. Secondary prevention

47. Prevention for the frail population – at moderate risk

48. Secondary prevention

49. Who needs an individual level approach ?

50. Secondary prevention

51. Secondary prevention

52. Who needs an individual level approach ?

53. Falls in institutions

54. Course of illness risk of falls

55. But different in care homes

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