Falls Home
Objectives
Interactive Case Study
History of Presenting Complaint
Medical History
Medication History
Social History
Patient Interview
Patient Interview
Risk Factors
Goals for the future
Physical Assessment
Investigations
Liver Function Tests
Echocardiogram
ECG
Bone Mineral Density
HbA1C
B12
TSH
Calcium
Urea and Electrolytes
FBC
Further Investigations
Creatine Kinase (CK)
Magnesium
Parathyroid Hormone Levels (PTH)
Muscle core biopsy
Brain MRI
Erythrocyte Sedimentation Rate (ESR)
Mid-stream Urine (MSU)
Vitamin D
Effects of Vit D Deficiency
Social Withdrawal
Geriatric Depression Scale
GDS result
Answer
Contributing risk factors
Depression and fear of falling
Hypotension and dizziness
Hypoglycemia
Visual disturbances
Polypharmacy
altered gait, mobility etc
foot problems
Polypharmacy
dizziness and poor balance
congestive heart failure
osteoarthritis
hypotension
diabetes
Medication changes
Team Approach
Occupational Therapy Assessment
Home Assessment
Care Plan
Case Summary
Multi-disciplinary care review
podiatrist
optometrist
gp
social worker
occupational therapist
psychotherapist
psychologist
Resources
Falls Pre-module Test
Question One
Which of the following would NOT be a common test to investigate possible causes of muscle weakness?
(1 points)
Magnesium
Creatinine Kinase
Muscle biopsy
Parathyroid Hormone
Question Two
Which of the following medications has the GREATEST potential to increase falls risk? (1 points)
Benzodiazepines
Diuretics
Non-steroidal anti-inflammatories
Anti-hypertensives
Question Three
Which of the following statements regarding falls risk is true? (1 points)
Adults who take only over-the-counter medications are not at increased risk of falls
Adults who take two or more medications are at increased risk of falls
Adults who take four or more medications are at increased risk of falls
None of the above are true
Question Four
In Australia: (1 points)
One in five adults over the age of 65 fall each year
One in three adults over the age of 65 fall each year
One in ten adults over the age of 65 fall each year
One in eight adults over the age of 65 fall each year
Question Five
Which of the following is the MOST common cause of Vitamin D deficiency? (1 points)
Insufficient exposure to sunlight
Alcoholism
Decreased efficiency of skin conversion
Poor diet