Concerns about Falling in Older Adults
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Questions and Answers

What does the text emphasize about falls in older adults?

  • They are mostly harmless and not related to other syndromes
  • They are only common in community settings
  • They may indicate underlying medical conditions (correct)
  • They are always a sign of frailty

What should clinicians consider when choosing assessments for falls in older adults?

  • The clinical characteristics, setting, and resources available (correct)
  • The cost and equipment availability only
  • The location and time of the fall
  • The age and gender of the older adult

What is the strong recommendation regarding the perspective of the older adult in falls risk assessment?

  • To only focus on the goals and priorities of the older adult
  • Not to consider the older adult's perspective at all
  • To ignore the attitudes to activities, independence, and risk
  • To inquire about the perceptions, causes, future risk, and prevention of falls (correct)

What does the text recommend clinicians to consider regarding falls in older adults who live with frailty?

<p>The presence of delirium accompanied by pneumonia (D)</p> Signup and view all the answers

What is emphasized as important for some individuals regarding the management of conditions associated with falls in older adults?

<p>The willingness and capability of older adults to inform decision making on potential interventions (C)</p> Signup and view all the answers

What is recommended as part of a multifactorial falls risk assessment according to expert recommendation?

<p>To consider the goals and priorities; attitudes to activities, independence, and risk (D)</p> Signup and view all the answers

What is the purpose of a structured assessment of gait by a trained clinician?

<p>To identify the risk of falls in older adults (B)</p> Signup and view all the answers

Which tool is recommended for identifying drugs that increase the risk of falls in older adults?

<p>STOPPFall (B)</p> Signup and view all the answers

Why is assessment of cognition included as part of a multifactorial falls risk assessment in older adults?

<p>Because dementia and mild cognitive impairment double the risk of falls and falls-related injuries (C)</p> Signup and view all the answers

What is the purpose of using a standardized instrument like the Falls Efficacy Scale International (FES-I) in community-dwelling older adults?

<p>To evaluate concerns about falling (A)</p> Signup and view all the answers

Which initiative has listed potential fall risk increasing drugs (FRIDs)?

<p>Centre for Disease Control and Prevention’s STEADI initiative (B)</p> Signup and view all the answers

What is the main focus of a medication review targeted to falls prevention?

<p>Optimizing deprescribing of FRIDs (D)</p> Signup and view all the answers

What is the rationale for including concerns about falling as part of a comprehensive fall assessment?

<p>To measure an older adult's perceptions about the falls they have experienced (D)</p> Signup and view all the answers

What evidence supports the use of the Falls Efficacy Scale International (FES-I) and Short Falls Efficacy Scale International (Short FES-I) in older adults living in the community?

<p>Strong to moderate evidence from a recent systematic review and meta-analysis of 59 studies (A)</p> Signup and view all the answers

What is the relationship between concerns about falling, fear of falling, and self-efficacy according to recent models?

<p>They are linked together, with self-efficacy being the most influential (D)</p> Signup and view all the answers

What is the advantage of using the term 'concerns about falling' instead of 'fear of falling'?

<p>It is less intense and emotional, making it more socially acceptable for older adults to disclose (B)</p> Signup and view all the answers

What is recommended for clinicians regarding cardiovascular assessment as part of a multifactorial falls risk assessment?

<p>Perform a cardiovascular assessment only if syncope is suspected (D)</p> Signup and view all the answers

What is recommended for further cardiovascular assessment in the absence of abnormalities on initial cardiovascular assessment?

<p>No further cardiovascular assessment is required (B)</p> Signup and view all the answers

What is the recommended referral for individuals suspected to have orthostatic hypotension that is not detected using traditional methods?

<p>Referral for beat-to-beat orthostatic measurement (A)</p> Signup and view all the answers

What is the most common cause of orthostatic hypotension in older adults?

<p>Dehydration (C)</p> Signup and view all the answers

When is short-term 24-48 hours cardiac rhythm monitoring indicated?

<p>If events occur daily (B)</p> Signup and view all the answers

What is the role of the vestibular system in relation to falls in older adults?

<p>It plays a key role in the control of posture and gait (C)</p> Signup and view all the answers

What is recommended to identify cases of benign paroxysmal positional vertigo from non-cases in older adults?

<p>Dix-Hallpike test and Head Impulse Test (B)</p> Signup and view all the answers

What is recommended as part of a multifactorial falls risk assessment for older adults?

<p>Enquire about vision impairment and measure visual acuity (C)</p> Signup and view all the answers

What is the third most common chronic condition in older adults?

<p>Visual acuity (B)</p> Signup and view all the answers

What is a possible explanation for the association between hearing loss and falls in older adults?

<p>Reduction in cognitive capacity for maintaining balance (B)</p> Signup and view all the answers

What is the recommended approach to preventing falls in older adults with delirium, dementia, and cognitive impairment?

<p>Delivering evidence-based, person-centered care (D)</p> Signup and view all the answers

Which sensory screening should not be limited to measurement of visual acuity only?

<p>Contrast sensitivity and depth perception screening (D)</p> Signup and view all the answers

What can help to differentiate between stress, urge, and mixed types of urinary incontinence?

<p>$3IQ$ screening questions (B)</p> Signup and view all the answers

What percentage of people aged 70 years or older have a visual acuity of less than $6/12$?

<p>$20rac{1}{2}%$ (B)</p> Signup and view all the answers

What is a potential benefit of enhancing accessibility to hearing and visual assessments in LMIC?

<p>Emphasized benefit of falls prevention (C)</p> Signup and view all the answers

Which multidomain strategies have been shown to reduce the risk of delirium?

<p>$2D$ printing, vision and hearing, and fluid management (B)</p> Signup and view all the answers

What has been associated with a 1.2-fold increased risk of falls?

<p>$3IQ$ screening questions (D)</p> Signup and view all the answers

What can help differentiate between stress, urge, and mixed types of urinary incontinence?

<p>The $3IQ$ screening questions (D)</p> Signup and view all the answers

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