Introduction
To Rise from a chair and walking around require muscle power, proprioception and balance. Inactivity results in muscle weakness, loss of sense of the joint position and loss of balance (Kröpelin et al., 2013).
Falls are one of the geriatric syndromes threatening the independence of elderly and it is a misdiagnosed and underdiagnosed problem in the primary health care with an important impact on healthcare costs (Rao, 2005).
Annually, from 30 to 40% of the community dwelling elderly falls; 50% of the nursing home residents fall. In the USA, falls are considered the leading cause of accidental death in elderly and also considered the 7th leading cause of death in people over 65 years, 75% of deaths caused by falls occur in the 13% of the population who are ≥65 years. In 2000, medical costs for fall …show more content…
The rate of patient falls 2 per 1000 patient in general hospitals and increased in geriatric departments up to 10 per 1000 patient (Corsinovi et al., 2009). These falls are responsible for two out of five adverse outcomes in hospitals (Severo et al., 2014).
The incidence of falls in institutional settings is 1.5 falls per bed per year. Approximately 50% of older people in health care facilities fall at least once per year and up to 40% fall more than once per year (Todd and Skelton, 2004).
Most non-injurious falls, about (75%-80%) are never reported to health care professionals. Depression, fear of falling and other psychological problems which called “post-fall syndrome” is common effect of repeated falls. Loss of self-confidence and social withdrawal, confusion and loneliness may occur, even when there has been no injury (Feder et al., 2000).
Causes and risk