Falls in the elderly are frequent and often cause fractures and other injuries. Falls can be caused by inappropriate shoes, slippery surfaces, use of many medications and even physical assault .How to identify the cause(s) and what can be done?
Working as a Clinical Nurse Consultant in an acute hospital, I am constantly confronted with limited documentation of any bruising, skin tears or what nurses consider 'normal' injuries of ageing. This means that the cause of any such injuries are never followed up. Bruising on specific areas of the body especially if the colours of the bruises indicate repeated trauma, can give a picture of the causes as diverse as poor eyesight (diabetic retinopothy to cataracts to incorrect eye wear) , cognitive impairment (dementias-spacial ability; Parkinson's) or poor complience with medications (orthostatic hypotension). It is my opinion that followup on older persons presenting to hospital with unexplained bruising, skin tears, wounds ect may give information about the prevention of domestic accidents.
Dear Elizabeth
I agree with your opinions.
Thank you very much
Best regards
Literature has indicated that the biggest predictor of future fall is history of fall. Therefore if you are looking from a clinical perspective, assessment of non-injurious previous falls is a great place to start. Look up research from Vicky Scott out of British Columbia for some great literature and information that may assist you.
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