Some risk of falling, and then carry out

Some
medications increase the risk of falling. Ensuring that medications are
reviewed and adjusted may be effective in reducing falls. Gradual
withdrawal from some types of drugs for improving sleep, reducing anxiety and
treating depression has been shown to reduce falls. Cataract surgery reduces
falls in people having the operation on the first affected eye. Insertion of a
pacemaker can reduce falls in people with frequent falls associated with
carotid sinus hypersensitivity, a condition which may result in changes in
heart rate and blood pressure.(Gillespie
etal,2009).

Multifactorial
interventions assess an individual person’s risk of falling, and then carry out
or arrange referral for treatment to reduce their risk. They have been
shown in some studies to be effective, but have been ineffective in others.
Overall current evidence shows that they do reduce rate of falls in older
people living in the community. These are complex interventions, and their
effectiveness may be dependent on factors yet to be determined. Taking vitamin
D supplements probably does not reduce falls, except in people who have a low
level of vitamin D in the blood. These supplements may be associated with high
levels of calcium in the blood, gastrointestinal discomfort, and kidney
disorders. Interventions to improve home safety do not seem to be
effective, except in people at high risk, for example with severe visual
impairment. An anti-slip shoe device worn in icy conditions can reduce falls.

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Interventions
for preventing falls in older people living in the communityas people get
older, they may fall more often for a variety of reasons including problems
with balance, poor vision, and dementia. Up to 30% may fall per year.
Although one in five falls may require medical attention, less than one in 10
results in a fracture. Fear of falling can result in self-restricted activity
levels. It may not be possible to prevent falls completely, but people who tend
to fall frequently may be enabled to fall less often. Exercising in supervised
groups, participating in Tai Chi, and carrying out individually prescribed
exercise programmes at home are all effective. 

 

A fall is defined as an event which results in a person coming to
rest inadvertently on the ground or floor or other lower level” (World
Health Organization, 2016). Assesse knowledge, attitude of fall prevention for
elders how at risk. Falls and fall-related injuries constitute an important
public health concern. Each year, one in three community-dwelling older adults
(65 years or older) sustains a fall .About 20–30% of falls result in serious
injury, and injury care is costly As the aging population grows, the overall
population burden will increase, and costs will rise substantially.(Laing,e tal
, 2011.)