April 15 2015 Sponsored by The Geriatrics and Gerontology Education and Research Program University of Maryland Baltimore The Johns Hopkins Geriatric Education Center Consortium The Center for Injury and Sexual Assault Prevention Department of Health and Mental Hygiene ID: 681694
Download Presentation The PPT/PDF document "AN INTERDISCIPLINARY APPROACH TO OLDER A..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
AN INTERDISCIPLINARY APPROACH TO OLDER ADULT FALL PREVENTION
April 15, 2015Sponsored byThe Geriatrics and Gerontology Education and Research Program, University of Maryland, Baltimore The Johns Hopkins Geriatric Education Center ConsortiumThe Center for Injury and Sexual Assault Prevention, Department of Health and Mental Hygiene Slide2
Presentations
The Essentials of Preventing Falls in the Older AdultJessica Colburn, MD, The Johns Hopkins School of Medicine and Hopkins Bayview Medical CenterFalls Management in Older Adults: “The Double-Edged Sword” Dennis Klima
, PT PhD GCS NCS,
University of Maryland Eastern Shore
Preventing Medication-Related Falls through Appropriate Medication Use
Chanel Agness, PharmD, BCPS, CGP, FASCP and
Stephanie
Callinan
, PharmD
University of Maryland School of PharmacySlide3
Case Discussion
History of Present Illness: Mr. Samuel is a 84 year old man who was recently admitted to Sunnyside Nursing Facility after a recent hospitalization due to dehydration. Patient was started on amlodipine, pantoprazole and zolpidem during hospitalization.
Patient
complains of dizziness and lightheadedness when getting up from a seated position. Also reports that he gets up twice a night to use the bathroom.
His Timed Up and Go (TUG) Score
is 19 seconds. He tends to shuffle his feet in gait. He complains of hip pain and weakness. Slide4
Case Discussion
He had a prior fall at home this past year and was instructed to use a cane.He lives in a 3 story row home in East Baltimore with his wife. His wife has what he describes as some “forgetfulness”. He has a small dog that he loves to walk in neighborhood.His goal is to return home.Slide5
Past Medical History :
HypertensionOsteoarthritisBenign Prostatic HypertrophyDiabetesSlide6
Medications:
Aspirin 81 mg dailySliding Scale InsulinAtenolol 100 mg twice dailyOxycodone/Acetaminophen 5/325 mg three times dailyTerazosin 1 mg nightly at bedtimeZolpidem 10mg at bedtimeChlorpheniramine for occasional allergies Slide7
Vital Signs: (as found in chart)
Sitting BP: 146/84 mmHg, pulse 76Standing BP: 130/70 mmHg, pulse 88Slide8
Questions
Using Beer’s List, identify potentially inappropriate medications that can increase risk for falls.Using 31 Tool, assess Mr. Samuel’s medication –related fall risk.Recommend one strategy to decrease medication –related fall risk AND to educate Mr. Samuel.
What
is potentially
one intrinsic
cause of falls which pertains to his medical history and gait?
What are some potential
extrinsic risk factors that need to be considered for him to go home?
Slide9
Questions
What are some potential mobility interventions to decrease his fall risk?What should we do about assessing for his vitamin D.