Falls and Mobility disorders Flashcards
Effective intervention for frequent fall patients requires an assessment of what things
- patients intrinsic deficits (diseases, medications)
- activity at time of fall
- environmental obstacles
Intrinsic deficits impair what and lead to falls
- sensory input
- judgement
- blood pressure regulation
- reaction times
- balance and gait
Older people activate what muscles in response to a change in surface
proximal muscles
Most important history piece you need to obtain when a patient presents after a fall
if there has been a previous fall
If a patient has more than 2 falls in one year what should be done
multifactorial risk assessment
What 9 things are involved in a multifactorial risk assessment
- history of falls
- medications
- gait, balance and mobility
- visual acuity
- muscle strength
- heart rate and rhythm
- postural hypotension
- feet/footwear
- environmental hazards
What is the get up and go test
pateint stands up from sitting without using hands, walks 10 feet and turns around and walks back
What is normal for the get up ad go test? What requires assistance
<10 seconds normal
if longer than 30, pts need assistance with mobility tasks
If a patient falls and cant get up by themselves, what are they at risk for
- dehydration
- pressure sores
- rhabdo
- hypothermia
Canes should be used on what side
the good side
Height of walkers should be at what level
wrist level
What does the functional reach test assess
balance
What is the functional reach test
pt stands with fist extended alongside a wall–> pt leans forward as far as possible without taking a step–> length of fist movement in measured
What measurement in functional reach test puts pt at an increased risk of falling
<6 in
Metabolic bone disease is categorized by what? What are they?
histological appearance
osteoperosis–> bone matrix and mineral both decreased
osteomalacia–> bone matrix intact, mineral decreased
