1. Environmental Trigger
OPPORTUNITY FOR INTERVENTION
Physical therapy
Sensory Aids
(glasses)
Ambulation/Gait Aids
(4 prong cane, walker)
Review Medication list-
(remove problematic meds)
5) Behavioral Measures (in supervised environment)
Bed Alarms for dementia with impulsivity
Scheduled toileting
↓Baroreceptor Sensitivity
↓Balancefrom vestibular and proprioception
↓vision (esp night)
↓reflex speed for correction
Fall Risk
Dehydration/diuretics
Bp meds causing orthostasis
Benzodiazepines
Psychotrophics
Anticholinergics
Alpha antagonists
Parkinsons
Neuropathy
Arthritis
podiatry problems
↑impulsivity
(esp in dementia)
Environmental Trigger
“Accident”
5) OT Home Safety Eval
-rugs -cords
-lighting -rails
Fall
6) Calcium+Vitamin D/Bisphosphonate
Bisphosphonate for prior frailty fx or known O/P
Vitamin D level
7) Hip protectors?
(uncertain benefit)
Frailty
Osteoporosis
Decreased muscle
speed to deflect injury
INJURY