A Review Study on Effective Factors in Prevention of Falling and Osteoporosis Fracture in Elderly People

Document Type : Original article

Authors

1 PhD Student of Nursing. Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran (corresponding author) r_emaieli@yahoo.com

2 Assistant Professor, Dept. of Medical Surgical, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

3 MSc in Information Technology management, Tehran, Iran

4 PhD Student of Management of Shahid Beheshti University, Tehran, Iran

Abstract

Background and Aim
 The geriatric process consists of stages of progressive and unrevisable changes during the life. This change starts from the age of 35 to 40, but usually a person over 60 years old is considered as elderly. With regard to the geriatric physiopathology process, osteoporosis and the following bone fracture caused by a fall, is one of the most common and serious problems  in elderly people. Other important factors responsible for old people`s bedridden at hospital are respectively as follow: femoral fractures, sub durra hemorrhage, and injury or damage of brain. Only after being involved in a problem or injury the elders notice the risk factors and the ways to prevent them. Therefore, the investigation and recognition of precaution measures are necessary in case of osteoporosis and falling in elder people. The primary prevention of falling in elderly people is the prevention of osteoporosis. Therefore, screening of peripheral and central bone density is necessary for those who are at risk.
The present article is a review study which has been prepared by gathering and reviewing thirty articles about recognition of risk factors and preventing osteoporosis and falling down in elderly people.
From review of literature it was concluded that the following measures should be taken in order to prevent the elderly people from any kind of injury:
A - Identification and Assessment of elderly people with high risk exposure 
B - Decreasing or eliminating the risk factors by:
- Body & physical exercise
- Taking tablets
- Appropriate diet
- Multiple interventions

Keywords


  1. Dabiran A. Medical Surgical Nursing 1. First ed. Tehran: Boshra Publisher; 1385 [In Persian].
  2. Rogers ME،Rogers NL،Takeshima N،Islam MM. Methods to assess and improve the physical parameters associated with fall risk in older people. Prev Med. 2003; 36(3):255-64.
  3. Shawler C.The empower of older mothers and daughters: Rehabilitation strategies following a hip fracture. Geriatr Nurs 2006; 27(6):371-7.
  4. Steenvall M. A multidisciplinary،multifactorial intervention program reduce postoperative falls and injuries after femoral neck fracture. Osteoporos Int 2007; 18(2):167-75.
  5. Nandy S. Development and preliminary examination of the predictive validity of the falls risk assessment tool (FRAT) for use in primary care. J Public Health (Oxf) 2004; 26(2):138-43.
  6. Fuller GF. Falls in the elderly. Am Fam Physician 2000 1;61(7):2159-68
  7. Stenvall M،Olofsson B،Lundström M،Svensson O،Nyberg L،Gustafson Y. Inpatient fall and injuries in older patients treated for femoral neck fracture. Arch Gerontol Geriatr 2006; 43(3):389-99.
  8. Thomas SK،Humphreys KJ،Miller MD،Cameron ID،Whitehead C،Kurrle S،Mackintosh S،Crotty M. Individual nutrition therapy and exercise regim: A controlled trial of Injured،vulnerable elderly (INTRACTIVE trial). BMC Geriatr 2008 26; 8:4.
  9. Fisher R. Bone quality: Implication in geriatric orthopedic patients. Operative Techniques in Orthopedics 2002; 12(2): 78-82.
  10. Jackson RD. Calcium and vitamin D supplementation do not reduce fracture rate. Journal of Midwifery &Women’s Health 2006; 51(6): 524–525.
  11. Shabat S،Nyska M،Eintacht S،Lis M،Bogomolni A،Berner Y،Kestanbaum-Shainkin R. Serum leptin level in geriatric patients with hip fractures: possible correlation to biochemical parameters of bone remodeling. Arch Gerontol Geriatr 2009; 48(2):250-3.
  12. Toba K. Risk assessment for falls in the elderly population .Geriatric Gerontol int 2008; 8(1): 26-28.
  13. MacCulloch PA،Gardner T،Bonner A. Comprehensive fall prevention programs across settings: A review of literature. Geriatr Nurs 2007; 28(5):306-11.
  14. Harrahill M. Posterior hip dislocation with femoral head fracture: An unusual injury. J Emerg Nurs 2006; 32(5):451-3.
  15. McClung MR،Bolognese MA،Sedarati F،Recker RR،Miller PD. Efficacy and safety of monthly oral ibandronate in prevention of post menopausal bone loss. Bone 2009; 44(3):418-22.
  16. Larson L،Bergmann TF. Taking on the fall: The etiology and prevention of falls in the elderly. Journal clinical chiropractic 2008; 11(3):148-154.
  17. O'Connor P،Hackenschmidt A. Geriatric pedestrian versus auto trauma: An age-old problem. J Emerg Nurs 2008; 34(2):177-9.
  18. Safavi Baiat Z،Zoriasatin F. The survey of falling risk factors in erderly people of Tehran Home residents. Scientific. Journal of Gazvin Medical University`s1385; 4(45).[InPersian]
  19. Safavi Baiat Z،Zoriasatin F. The survey of falling risk factors in erderly people of Tehran Home residents. Scientific Journal of Gazvin Medical University`s.1385.4(45).[In Persian]
  20. Filiatrault J،Gauvin L،Richard L،Robitaille Y،Laforest S،Fournier M،Corriveau H. Impact of a multifacted community-based falls prevention program on balance-related psychologic factors. Arch Phys Med Rehabil2008; 89(10):1948-57.
  21. Mezey M،Boltz M،Esterson J،Mitty E.Evolving models of geriatric nursing care 2005; 26(1):11-5.
  22. Titler M،Dochterman J،Kim T،Kanak M،Shever L،Picone DM،Everett L،Budreau G. Cost of care for senior hospitalized for hip fracture and related procedure. Nurs Outlook 2007; 55(1):5-14.
  23. Gilje F،Lacey L،Moore C. Gerontology and geriatric issues and trend in U.S nursing programs: A national survey. J Prof Nurs 2007; 23(1):21-9.
  24. Chan BK،Marshall LM،Winters KM،Faulkner KA،Schwartz AV،Orwoll ES. Incident fall risk and physical activity and physical performance among older men. Am J Epidemiol 2007; 165(6):696-703.
  25. Li JX،Hong Y،Chan KM. Tai chi: physical characteristics and benefical effects on health. Br J Sports Med 2001;35:148-156
  26. McMichael KA،Vander Bilt J،Lavery L،Rodriguez E،Ganguli M. Simple balance and mobility tasts can assess fall risk when cognition is impaired. Geriatr Nurs 2008; 29(5):311-23.
  27. Shawler C. The empower of older mothers and daughters: Rehabilitation strategies following a hip fracture. Geriatr Nurs 2006; 27(6):371-7.
  28. Evans WJ. Protein Nutrition،Exercise and Aging. J Am Coll Nutr 2004; 23(6 Suppl):601S-609S.
  29. Dedeoğlu EN،Erenus M،Yörük P. Effects of hormone therapy and tibolone on body compotition and serum leptin levels in postmenoposal women. Fertil Steril 2009; 91(2):425-31.
  30. Ragsdale AB،Barringer TA 3rd،Anastasio GD.Alendronate Treatment to prevent Osteoporotic Fractures. Arch FAM Med 1998; 7(6):583-6.
  31. Blouin J،Dragomir A،Moride Y،Ste-Marie LG،Fernandes JC،Perreault S. Impact of noncompliance with alendronate and risedronate on the incidence of nonvertebral osteoporotic fracture in elderly women. Br J Clin Pharmacol 2008; 66(1):117-27. 
Volume 1, Issue 4 - Serial Number 4
January and February 2013
Pages 47-56
  • Receive Date: 02 August 2011
  • Revise Date: 22 January 2012
  • Accept Date: 11 July 2012
  • First Publish Date: 21 December 2012