The Portal of Geriatrics Online Education

13 FBG: Construct diagnosis and evaluation plan for fallen patient

13. In a patient who has fallen, conduct a gait assessment and construct a differential diagnosis and evaluation plan that addresses the multiple etiologies identified by history, physical examination and functional assessment.

Elder Care: A Resource for Interprofessional Providers: Assessing and Intervening in Fall Risk in Older Adults

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Other Sponsors: 
Product Information
Estimated time to complete: 
1
Abstract: 

"Falls in Elders" is one of a continuing series of practical, evidence based, Provider Fact Sheets which summarize key geriatric topics and provide clinically useful assessments and interventions. Initially developed for remote, rural clinical sites,  they are useful for students and health care professionals from many fields and across a very broad range of health care settings.

Educational objectives: 

Objectives:
1. List four common risk factors for falls by older adults
2. Perform a “Get Up-and-Go” test
3. Recommend three interventions designed to reduce the risk of falls
Additional information/Special implementation requirements or guidelines: 

Subscribers to POGOe are free to reprint Elder Care on their own stationery or in other publications without obtaining specific permission, so long as
(1) content is not changed, 
(2) no one is charged a fee to use or read the publication, 
(3) authors and their affiliated institutions are noted without change, and 
(4) the reprint includes the following statement: “Reprinted courtesy of the Arizona Reynolds Program of Applied Geriatrics and the Arizona Geriatric Education Center."
Publications from, presentations from, and/or citations to this product: 
The Elder Care provider sheets are occasionally published in the Arizona Geriatrics Society Journal, which is published twice yearly.

Nelson, D. and Medina-Walpole, A. (2010, December), Elder care provider fact sheets. Journal of the American Geriatrics Society, 58(12), 2414-2415. Also available online.
Date posted: 
Thu, 08/02/2018
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 05/21/2018
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Elder Care: A Resource for Interprofessional Providers: Assessing and Intervening in Fall Risk in Older Adults. POGOe - Portal of Geriatrics Online Education; 2018 Available from: https://pogoe.org/taxonomy/term/107

Geriatric Screening Case with EBM Literature

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Abstract: 

An 88 year old female with a history of falls. Discussion questions included. EBM literature includes all types of geriatric screening and weighs the options and suggests modification indications.

Educational objectives: 

To determine: - If there are always benefits to initiating evidence based guidelines for CVD prevention - How to balance disease-based guidelines in the presence of other co-morbidities or limited life expectancy - Renal function despite normal Cr - Risks of polypharmacy - How to maximize outcomes

Date posted: 
Thu, 02/26/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 07/17/2012
Contact Person/Corresponding Author:



Suggested Citation:
and . Geriatric Screening Case with EBM Literature. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/107

Falls for the Inpatient Physician: Translating Knowledge Into Action

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Estimated time to complete: 
1
Abstract: 

A small group, preceptor-mediated, Power-Point guided workshop on evaluation and management of geriatric falls for the inpatient physician. It is based on the philosophy that the hospital physician must be able to integrate the unique interaction between the physiology of the aging body and the inter-current illness in the context of the hospital system of care delivery. It is designed to guide students through a practical process for evaluating and acting on risk factors for future falls in the elderly patient and to evaluate and mitigate the risk for falls during hospitalization. A central emphasis of this module is that knowledge about risk factors for falls is insufficient if this is not paired with concrete actions taken by the hospital physician. The module explores barriers to effective modification of contributors to the multi-factoral geriatric syndrome including “possibility paralysis” and institutional communication silos. The module trains the student to focus on a limited set of modifiable risk factors and to translate knowledge into definable orders to decrease the risk of falls. The emphasis is on systems-based practice improvement rather than solely individual practitioner knowledge. It was developed for the Hospitalist Training Track internal medicine residents at the University of Colorado Hospital rotating on the Hospitalist Acute Care for the Elderly service, and is designed for small groups of 1-8 students. Content level is appropriate for 3rdand 4thyear medical students and internal medicine/family practice housestaff. The entire module requires approximately 1 hour. 

Educational objectives: 

The learner will be able to:

  1. Recognize the societal and personal adverse impact of the geriatric fall.
  2. Recognize the barriers to taking effective action for a multi-factoral geriatric syndrome.
  3. Understand risk factors for falls in the context of the interaction between the postural challenges of aging, medical co-morbidity/medications, and behavioral factors which, when combined with an environmental trigger and underlying physiologic frailty, combine to create a injurious fall.
  4. Understand how physicians can improve their own fall risk assessment
  5. Learn about the hospital system and how non-physician providers assess and attempt to reduce fall risk for hospitalized elderly patients. To critically examine how the physician operates within this hospital system and what actions on the level of the individual physician and system changes can be taken to reduce risk of in-patient falls.
Date posted: 
Tue, 03/31/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 02/11/2013
Contact Person/Corresponding Author:



Suggested Citation:
Falls for the Inpatient Physician: Translating Knowledge Into Action. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/107

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