PHAR 454 Lecture Notes - Lecture 6: Anterior Grey Column, Myocyte, Orthostatic Hypotension

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Understand the epidemiology and clinical importance of falls. Describe the risk factors and causes of falls. Briefly discuss the age-related changes that contribute to falls. Be familiar with methods of evaluation/assessment of risk for falls. Identify medications that may increase the risk of falls. Higher prevalence in > 80 years old. 5-25% of seniors falls result in a fracture or a sprain. Fall related hospitalization: due to hip fractures in 58% of those from residential care vs 32% form home, 5 x more common in the home vs. residential care. 40% of nursing home admissions occur as a result of falls (cid:1005)(cid:1006),(cid:1004)(cid:1004)(cid:1004) hospitalizations in bc in (cid:858)(cid:1004)9/(cid:1005)(cid:1004) Directly cause 95% of all hip fractures in seniors and 20% die within a year of the fracture. Each hip fracture costs ,285 in the 1st year after hospitalization: ,156 if the pt is institutionalized. 1/3 discharged to long term care: double the proportion living there pre-admission.

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