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WEEK 31:
FALLS IN THE OLDER ADULT PLENARY:
| Question | Answer |
|---|---|
| questions to ask on routine visit | sleep coping with activities of daily living food shopping mood general mobility flu/ covid jab annual bloods |
| amlodipine | CCB which lowers BP and treats angina |
| side effects of amlodipine | swollen ankles headache flushing dizziness palpitations |
| who is at risk of falls | age high BP medications sedentary lifestyle trouble sleeping/ tiredness sleep medication history of breast cancer lives alone weight diet |
| fall prevention | medical (co-morbidities, review meds polypharmacy, fracture prevention) physically (keeping active and strengthening exercises) nutrition socially (confidence in leaving house) home environment (OT assessment, raised chairs, grab rails, mobility aids) |
| what to check in the fall | trauma (head injury and fractures) shock psychological (Scared, loss of confidence, vulnerable) length of time on floor (dehydrated, loss of muscle mass) |
| preventing future falls and complications | home assessment physio medications risk assessment for osteoporosis |
| osteoporosis risk factors | female early menopause breast cancer smoker low BMI medications (steroids) alcohol endocrine problems |
| osteoporosis management | DEXA scan blood test - CTx high risk of fragility fracture (bisphosphonate treatment) calcium and Vit D supplements novel therapies |
| bisphosphonates | strengthen bones and reduce bone loss by slowing down osteoclasts |
| benefits of bisphosphonates | decrease risk of frailty fracture |
| risks/ side effects of bisphosphonates | 1 in 80 long bone fracture difficult compliance GI symptoms |
| frailty factors | social environment physical environment mental wellbeing long term health conditions acute health problems local care services others eg death of spouse |