The fall is another important geriatric syndromes, if carried out, often leads to physical consequences (fractures), psychological (postcaída syndrome) and social (isolation and dependence in activities of daily living).
In my opinion, for to avoid this geriatric syndrome is very important the prevention. Therefore, the work of nurses and social workers is of great importance in this matter. Among the preventive measures can include:
- Primary Prevention. To detect and to correct predisposing factors, removing carpets, doing exercise programs, avoiding harmful habits, avoiding uneven floors, good lighting, orderly, bed railings, etc.. At this stage we can assess using scales such as the Tinetti scale or scale Downton risk.
- Secondary Prevention. In a fall discard loss of consciousness, syncope diseases, ask when and where it fell, what was at the time, how he got up, ask if there have been previous falls, identify gait disturbance, mental confusion, etc.. At this stage we can apply the comprehensive geriatric assessment.
- Tertiary Prevention. To reduce the consequences of the fall, both physically and psychologically. We need to teach the old man up, to restore stability, first sitting and then standing up, to reeducate the orthotics and supportive psychotherapy.
Bibliography:
- Ruddick S, Scollen C. Fracture prevention in the frail elderly. Practice Nurse; 2003.
- Scientific Electronic Library Online - SciELO. [Website *]. [Revised 13/05/2013, updated 9/05/2013]. Available at: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21251999000100011
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