Notes in 03_Immobility and Falls

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Published 02/10/2024 General Causes of Falls[1] {{c1::Being generally unwell and frail}}[2] {{c1::Incontinence (rushing to the toilet)}}
Published 02/10/2024 Musculoskeletal Causes of Falls {{c1::Arthritis of lower limb joints}} {{c1::Sarcopenia}} {{c1::Feet deformities}}
Published 02/10/2024 Neurological Causes of Falls {{c1::Stroke}} {{c1::Parkinsonism}} {{c1::Dementia}} {{c1::Delirium (4.5x more likely to fall)}}
Published 02/10/2024 Sensory Causes of Falls {{c1::Visual impairment}} {{c1::Inattention}}
Published 02/10/2024 Cardiovascular Causes of Falls {{c1::Postural hypotension}} {{c1::Arrythmia}} {{c1::Heart failure}} {{c1::Aortic stenosis}}
Published 02/10/2024 Drugs that may cause falls include {{c1::antihypertensives}}, {{c1::sedatives}}, {{c1::alcohol}}, {{c1::beta blockers}}, {{c1::anticholinergics}}, and…
Published 02/10/2024 Physiological Effect of Drugs related to Falls (DECREASE) Drugs that decrease the following may cause falls: {{c1::Blood pressure}} {{c1::Heart rate}…
Published 02/10/2024 Physiological Effect of Drugs related to Falls (INCREASE) Drugs that increase the following may cause falls: {{c1::Urine output}} {{c1::Sedation}} {{…
Published 02/10/2024 Inpatients Common Causes of Falls {{c1::Postural hypotension}} {{c1::New medication}} {{c1::Low blood glucose}} {{c1::Delirium}} {{c1::De-conditioning…
Published 02/10/2024 Questions to ask in PC/HPC History-Taking of Falls {{c1::What were you doing?}} {{c1::Who were you with?}} {{c1::What happened before and after?}} {{c…
Published 02/10/2024 If a patient presents with {{c2::No Memory}} of the Fall, this may suggest a {{c1::Syncope}} or {{c1::Cognitive}} problem
Published 02/10/2024 If a patient presents with {{c2::Clear Memory}} of the Fall, this may suggest a {{c1::Sensory (Eyes or Nerve)}} problem
Published 02/10/2024 If a patient presents with {{c2::Palpitations}} preceding a Fall, this may suggest a {{c1::Cardiac}} problem
Published 02/10/2024 If a patient presents with a Fall when {{c2::turning}}, this may suggest {{c1::Postural instability}} or {{c1::Ear}} problem
Published 02/10/2024 If a patient presents with {{c2::‘Near misses’}}, this may suggest an {{c1::Unsteady on standing (MSK)}} problem
Published 02/10/2024 If a patient presents with {{c1::Syncope on exertion}}, this may suggest {{c2::Aortic stenosis}}
Published 02/10/2024 Examination of the Head and Arms of a patient that presents with Falls; Check for: {{c1::Cranial nerves}} {{c1::Check glasses}} {{c1::Check for n…
Published 02/10/2024 Examination of the Legs of a patient that presents with Falls; Check for: {{c1::Footware}}, {{c1::Toenails}} {{c1::Sensation}}, {{c1::Vibration}}…
Published 02/10/2024 A patient presenting with {{c1::Ataxic}} Gait, this may suggest {{c2::Cerebellar damage}}
Published 02/10/2024 A patient presenting with {{c1::Arthralgic}} Gait, this may suggest {{c2::Arthritis}}
Published 02/10/2024 A patient presenting with {{c1::Hemiplegic}} Gait, this may suggest {{c2::Stroke}}
Published 02/10/2024 A patient presenting with {{c1::Small steps and Shuffling}} Gait, this may suggest {{c2::Vascular Parkinsonism}}
Published 02/10/2024 A patient presenting with {{c1::High Stepping}} Gait, this may suggest {{c2::Peripheral neuropathy}}
Published 02/10/2024 Serious Injuries to look out for in a Fallen Patient {{c1::Head injury}}{{c1::Extradural haemorrhage}} {{c1::Seizure}} {{c1::C spine injury}} {{c1::Fl…
Published 02/10/2024 When is an immediate CT required if there was a Head Injury? {{c1::Low GCS <13}} {{c1::Confusion after 2 hrs}} {{c1::Focal neurology deficit (motor…
Published 02/10/2024 Prevention of Falls {{c1::Medication review}} {{c1::Providing walking aids}} {{c1::Adjusting height of beds}} {{c1::Ensure vision, mobility aids, and …
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