Elderly falls, multifactorial medical problem - how to assess the risk?

Jankowska Paula, Jankowski Krzysztof, Rudnicka-Drożak Ewa. Elderly falls, multifactorial medical problem - how to assess the risk? Journal of Education, Health and Sport. 2018;8(9):61-68. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1326392 http://ojs.ukw.edu.pl/index.php/johs/article/view/5758 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part b item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eissn 2391-8306 7 © The Authors 2018; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 02.07.2018. Revised: 18.07.2018. Accepted: 02.08.2018. Elderly falls, multifactorial medical problem - how to assess the risk? Paula Jankowska1, Krzysztof Jankowski1, Ewa Rudnicka-Drożak1 1. Chair and Department of Family Medicine, Medical University of Lublin Key words: Aged, Falls, Risk ABSTRACT Introduction Advanced age of a large part of society is associated with many health as well as social and economic consequences. Among them, disorders of mobility and falls of elderly have important place. The pathophysiology of falls among elderly is complex. It includes visual impairment, vestibular disorders, dementia, sarcopenia and use of many drugs. Screening for falls risk is essential part of everyday primary healthcare provider practice. Critical review of medications, management of chronic diseases may prevent falls. Apart from this, there are some professional functional assessment instruments available. Objective The objective of this work is to present reasons of elderly falls and functional assessment instruments suitable to assess risk of falls. Results Among analyzed instruments Timed Up-and-Go test, Elderly Fall Screening Test, Tinetti Performance Oriented Mobility and Berg Balance Test were chosen to be described, due to the best characteristics according to needs of primary care. Conclusion Falls are important health problem in elderly. Frequently, falls result in serious injury and following disability. Consequences of elderly falls may be even fatal. Thus, healthcare providers should pay attention especially to modifiable risk factors of falls. Among them is polypharmacy and use of selected drug groups. The burden of coordination of patient treatment, critical review of administered drugs and systematic screening for increased falls risk lays on family doctors. The most suitable for primary healthcare setting instrument designed to address this aim, seems to Timed Up-and-Go test. Tools as Elderly Fall Screening Test, Tinetti Performance Oriented Mobility and Berg Balance Test can be used as well