FALLS.

A fall is a precipitation to the ground, sudden, involuntary and nonawaited, with or without secondary injury, confirmed by the patient or a witness.

By their frequency, consequences and complications, constitute in case single a geriatrical syndrome of great importance.

           

The nurse will have to value the different advice and changes to realise in the home and the routines of the aged one.

I think that this has an important paper in the falls, since she is the one that can influence in the prevention of these. It must be very observant to detect all the possible causes and to know how to explain it so that old or the their caretakers understand the changes that are due to do.

She will have to recommend in:

-Postural recommendation: To rise in two times.

-Medication: To reduce hipotensivos doses, drugs and review interaction between medicaments.

-Sedatives: to diminish dose. Not to mix with alcohol. To advise nonpharmacological

measures.

-If there are muscular problems: training in transferences and march, exercises, learning of the correct use of technical assistance for the march

-Modifications of the surroundings: illumination. To avoid obstacles, to eliminate carpets, to avoid slippery grounds, to avoid electrical cables in zones of transit, telephone surround or tele-help, positioning of objects to medium altitude, to place railings, use of footwear and suitable clothes…