Falls, typical incidents among older adults in the nursing home, are associated with debility, functional impairment, and mortality. Falls resulting in injury and medical complication have proven to be costly, and once the elderly fall, they develop a fear of falling again. This fear reduces movement adding the risk of developing a co-morbid condition such as pressure injury, pneumonia, and depression related to feelings of isolation. Falls thus affect the quality of life among older adults.
State regulation on elderly care mandates institutions to incorporate fall intervention programs into their policies. Nurses have an active role in assessing the risk of falls and implementing an evidence-based intervention to prevent and minimize the impact of falls among vulnerable individuals. Understanding current knowledge about falls in the elderly and evidence-based fall intervention and strategies can help nurses keep patients safe.
Falls in older adults
Falls are associated with multiple risk factors, including biological, behavioral, and environmental.
Biological factors can be older age, chronic diseases, low vitamin D level, urinary incontinence, gait and balance disorder, orthostatic hypotension, chronic pain, and altered sensory perceptions.
Behavioral factors include lack of exercise, fear of falling, feelings of anxiety, symptoms of depression, low self . . .