Balance an Falls Flashcards
(46 cards)
Fall – Operational Definition
Unintentional loss of balance that leads to failure of postural stability”
Unexpected change in position which usually results in landing on the floor
Fall WHO definition:
Event which results in a person coming to rest inadvertently on the ground or floor or other lower level surface
How many fall deaths annually?
27,000
Fall Risk Assessment Recommendations
Use of structured note template
Recommend home safety evaluations
Increase attention to high risk medications
Use STEADI materials
Increase public health messaging about falls and preventability
To prevent falls, providers should focus first on these modifiable risk factors;
lower body weakness difficulties with gait and balance use of psychoactive medications postural dizziness poor vision problems with feet/shoes home hazards
Wellness
Generally described as multifaceted, and as a process or outcome which maximizes potential and health
Domains of Wellness
Physical
Psychological
Social
Physical Wellness
Multiple factors involved (p 447)
PTs can most affect nutrition and exercise
Nutrition
Remember that low BMI correlated with increased mortality in elderly
APTA position on nutrition:
the role of the physical therapist to screen for and provide information on diet and nutritional issues to patients, clients, and the community within the scope of physical therapist practice
What is used clinically to assess nutrition?
Mini Nutritional Assessment
Benefits of exercise:
Reduce bone density loss (if WB)
Counteract loss of lean muscle mass/strength loss
Improve flexibility
Improve body composition
Health priorities for wellness:
Active living
Injury prevention
Secondary prevention in chronic disease and disability management
Psychological wellness includes:
emotional
spiritual
intellectual
Emotional wellness:
sense of well-being, ability to cope with ups and downs
Spiritual wellness:
provides meaning and connects oneself to something greater
Intellectual wellness:
ability to learn, self-efficacy
Social wellness:
meaningful relationships and presence of a social support structure
Occupational/Vocational wellness:
purpose in life, reason to get up in the morning
Types of Programs
Balance/fall prevention
Strength training
Aerobic training
Walking/mobility activities
Who are senior athletes?
Former competitive athletes
Lifelong athletes, “sports people”
Nonathletes that start exercising later in life (after 40)
Young-old
65-74 years
Old
75-84 years
Old-old
85-99
