Falls in Older People Risk Assessment

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35 Questions

What percentage of people older than 80 fall at least once a year?

50%

According to NICE guidance, who should undergo a multifactorial risk assessment?

Individuals aged 65 and older who have requested medical attention following a fall

Which test is used to assess strength and endurance in the assessment of sarcopenia (risk of falls)?

Chair Stand Test

What is the purpose of the 4 Stage Balance Test?

Assessment of static balance in the assessment of sarcopenia (risk of falls)

What does the TUG Test assess?

Mobility, balance, walking ability, and fall risk in older adults

Which scale is used as a self-report measure of balance confidence in performing various activities without losing balance or experiencing a sense of unsteadiness?

ABC scale

What does the Berg Balance Scale assess?

Balance abilities

What does the DHI measure?

Handicap effects of dizziness

Which test is used for a simple assessment of functional mobility?

GST-4 Gait Speed Test

What is the purpose of the Activities-specific Balance Confidence (ABC) scale?

Self-report measure of balance confidence in performing various activities without losing balance or experiencing a sense of unsteadiness.

What does the Epidemiology Falls rate measure?

Falls rate amongst the leading cause of external injury

What is the most widely used tool for the assessment of the risk of developing pressure ulcers?

Braden Scale

What is the primary objective of pressure ulcer care?

Resolving infection, promoting wound healing, and establishing effective infection control

According to the European Pressure Ulcer Advisory Panel, how is a pressure ulcer defined?

As an area of localized damage caused by pressure, shear, or friction

What group is most likely to have pressure ulcers?

Elderly people, especially those older than 70

How are pressure ulcers mainly caused?

By local breakdown of soft tissue due to compression between a bony prominence and an external surface

What is the role of the Waterlow Score assessment?

Assessment of risk for the development of pressure sore or ulcer

Which scale is used for monitoring the healing process of pressure ulcers?

PUSH Pressure Ulcer Scale for Healing

What is a significant consequence of pressure ulcers?

Prone to infection and associated with high mortality rates

What is crucial to the preventive strategy for pressure ulcers?

Reducing external forces such as pressure, friction, shear stress, and moisture

What is a direct measure of the quality of nursing care provided in a long-term care facility?

Increasing occurrence of pressure ulcers

What is crucial to this preventive strategy for pressure ulcers?

Minimizing external forces such as pressure, friction, shear stress, and moisture

What is a significant consequence of pressure ulcers?

Prone to infection and associated with high mortality rates

What percentage of nursing home residents fall each year?

60%

What is the leading fall-related injury that results in hospitalization?

Hip fracture

What is the fifth leading cause of death in persons more than 65 years of age?

Falls

What is the approximate percentage of hip fractures associated with falls?

90%

What is the age group with the highest injury rate for falls?

Above 95 years

What is the average decrease in life expectancy for hip fracture survivors?

10-15%

In elderly patients, a fall can be a sign of which of the following acute illnesses?

Pneumonia

What is the impact of falls and concomitant instability on older patients' health and function?

Markers of poor health and declining function

What is the consequence of urinary incontinence (UI) with regard to toileting?

Increased risk of falls and fractures

What percentage of older patients who survive hip fractures are discharged to a nursing home?

~50%

How much longer are hospital stays for elderly patients who are hospitalized after a fall compared to those admitted for another reason?

Twice as long

What is a significant consequence of urinary incontinence (UI) according to the text?

Devastating impact on quality of life

This quiz covers the risk assessment guidelines for falls in older people, as recommended by NICE guidance. It includes questions related to the frequency of falls, difficulty with walking or balance, and other factors indicating the need for medical attention and assessment.

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