Somemedications increase the risk of falling. Ensuring that medications arereviewed and adjusted may be effective in reducing falls.
Gradualwithdrawal from some types of drugs for improving sleep, reducing anxiety andtreating depression has been shown to reduce falls. Cataract surgery reducesfalls in people having the operation on the first affected eye. Insertion of apacemaker can reduce falls in people with frequent falls associated withcarotid sinus hypersensitivity, a condition which may result in changes inheart rate and blood pressure.(Gillespieetal,2009).
Multifactorialinterventions assess an individual person’s risk of falling, and then carry outor arrange referral for treatment to reduce their risk. They have beenshown in some studies to be effective, but have been ineffective in others.Overall current evidence shows that they do reduce rate of falls in olderpeople living in the community. These are complex interventions, and theireffectiveness may be dependent on factors yet to be determined.
Taking vitaminD supplements probably does not reduce falls, except in people who have a lowlevel of vitamin D in the blood. These supplements may be associated with highlevels of calcium in the blood, gastrointestinal discomfort, and kidneydisorders. Interventions to improve home safety do not seem to beeffective, except in people at high risk, for example with severe visualimpairment. An anti-slip shoe device worn in icy conditions can reduce falls.Interventionsfor preventing falls in older people living in the communityas people getolder, they may fall more often for a variety of reasons including problemswith balance, poor vision, and dementia. Up to 30% may fall per year.
Although one in five falls may require medical attention, less than one in 10results in a fracture. Fear of falling can result in self-restricted activitylevels. It may not be possible to prevent falls completely, but people who tendto fall frequently may be enabled to fall less often.
Exercising in supervisedgroups, participating in Tai Chi, and carrying out individually prescribedexercise programmes at home are all effective. A fall is defined as an event which results in a person coming torest inadvertently on the ground or floor or other lower level” (WorldHealth Organization, 2016). Assesse knowledge, attitude of fall prevention forelders how at risk. Falls and fall-related injuries constitute an importantpublic health concern. Each year, one in three community-dwelling older adults(65 years or older) sustains a fall .About 20–30% of falls result in seriousinjury, and injury care is costly As the aging population grows, the overallpopulation burden will increase, and costs will rise substantially.(Laing,e tal, 2011.)