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The Patient Who Falls

The Patient Who Falls CARE OF THE AGING PATIENT FROM EVIDENCE TO ACTION “It’s Always a Trade-off” Mary E. Tinetti, MD Falls are common health events that cause discomfort and Chandrika Kumar, MD disability for older adults and stress for caregivers. Using the case of an older man who has experienced multiple falls The Patient’s Story and a hip fracture, this article, which focuses on community- Mr Y, an 89-year-old retired salesman, lived independently living older adults, addresses the consequences and etiol- until 3 years ago. He had a right humeral fracture in 2006 and a left hip fracture 3 months later. After hip fracture re- ogy of falls; summarizes the evidence on predisposing fac- pair and rehabilitation, he moved in with his daughter, a tors and effective interventions; and discusses how to physical therapist. translate this evidence into patient care. Previous falls; MrY’smedicalhistoryincludescoronaryarterybypassgraft- strength, gait, and balance impairments; and medications ing and porcine aortic valve replacement in 2003; dementia; are the strongest risk factors for falling. Effective single in- hypertension;gout;pepticulcerdisease;maculardegeneration; terventions include exercise and physical therapy, cata- and bilateral hearing aids. In 1992, Mr Y fractured his right hip ract surgery, and medication reduction. Evidence sug- in a bar brawl; he used http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

The Patient Who Falls

Tinetti, Mary E.; Kumar, Chandrika
JAMA , Volume 303 (3) – Jan 20, 2010
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References (67)

Publisher
American Medical Association
Copyright
Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2009.2024
pmid
20085954
Publisher site
See Article on Publisher Site

Abstract

CARE OF THE AGING PATIENT FROM EVIDENCE TO ACTION “It’s Always a Trade-off” Mary E. Tinetti, MD Falls are common health events that cause discomfort and Chandrika Kumar, MD disability for older adults and stress for caregivers. Using the case of an older man who has experienced multiple falls The Patient’s Story and a hip fracture, this article, which focuses on community- Mr Y, an 89-year-old retired salesman, lived independently living older adults, addresses the consequences and etiol- until 3 years ago. He had a right humeral fracture in 2006 and a left hip fracture 3 months later. After hip fracture re- ogy of falls; summarizes the evidence on predisposing fac- pair and rehabilitation, he moved in with his daughter, a tors and effective interventions; and discusses how to physical therapist. translate this evidence into patient care. Previous falls; MrY’smedicalhistoryincludescoronaryarterybypassgraft- strength, gait, and balance impairments; and medications ing and porcine aortic valve replacement in 2003; dementia; are the strongest risk factors for falling. Effective single in- hypertension;gout;pepticulcerdisease;maculardegeneration; terventions include exercise and physical therapy, cata- and bilateral hearing aids. In 1992, Mr Y fractured his right hip ract surgery, and medication reduction. Evidence sug- in a bar brawl; he used

Journal

JAMA – American Medical Association

Published: Jan 20, 2010

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