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Date of download: 5/28/2016 From: Primary Care–Relevant Interventions to Prevent Falling in Older Adults: A Systematic Evidence Review for the U.S. Preventive.

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Presentation on theme: "Date of download: 5/28/2016 From: Primary Care–Relevant Interventions to Prevent Falling in Older Adults: A Systematic Evidence Review for the U.S. Preventive."— Presentation transcript:

1 Date of download: 5/28/2016 From: Primary Care–Relevant Interventions to Prevent Falling in Older Adults: A Systematic Evidence Review for the U.S. Preventive Services Task Force Ann Intern Med. 2010;153(12):815-825. doi:10.7326/0003-4819-153-12-201012210-00008 Summary of evidence search and selection.Articles may have been included for more than 1 KQ and more than 1 intervention. KQ = key question; PT = physical therapy; SER = systematic evidence review. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

2 Date of download: 5/28/2016 From: Primary Care–Relevant Interventions to Prevent Falling in Older Adults: A Systematic Evidence Review for the U.S. Preventive Services Task Force Ann Intern Med. 2010;153(12):815-825. doi:10.7326/0003-4819-153-12-201012210-00008 Pooled risk for falling for multifactorial assessment and management interventions.CG = control group; IG = intervention group. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

3 Date of download: 5/28/2016 From: Primary Care–Relevant Interventions to Prevent Falling in Older Adults: A Systematic Evidence Review for the U.S. Preventive Services Task Force Ann Intern Med. 2010;153(12):815-825. doi:10.7326/0003-4819-153-12-201012210-00008 Pooled risk for falling for exercise or physical therapy interventions.CG = control group; IG = intervention group. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

4 Date of download: 5/28/2016 From: Primary Care–Relevant Interventions to Prevent Falling in Older Adults: A Systematic Evidence Review for the U.S. Preventive Services Task Force Ann Intern Med. 2010;153(12):815-825. doi:10.7326/0003-4819-153-12-201012210-00008 Pooled risk for falling for single clinical treatment interventions: vitamin D.CG = control group; IG = intervention group. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

5 Date of download: 5/28/2016 From: Primary Care–Relevant Interventions to Prevent Falling in Older Adults: A Systematic Evidence Review for the U.S. Preventive Services Task Force Ann Intern Med. 2010;153(12):815-825. doi:10.7326/0003-4819-153-12-201012210-00008 Key questions.This review addresses KQs 2 and 3. KQ = key question. * Multifactorial assessment and management includes multifactor risk assessment, comprehensive geriatric assessment, and ≥2 of the following screenings for fall risk: vision, gait, mobility, strength, medication review, cognitive impairment, orthostatic hypotension, and environmental risks. Single clinical treatment (with or without screening) includes vision correction, medication optimization or adjustment, assistive device prescription, pharmacologic or nutritional interventions, treatment of orthostatic hypotension, urinary incontinence, and hip protectors. Clinical education or behavioral counseling includes exercise, fall risk reduction, and a home-hazard checklist. Home-hazard modification includes identifying and removing potential fall hazards, adding grab bars and handrails, and modifying the environment to improve mobility and safety. Exercise or physical therapy includes physical exercise, mobility and gait training, muscle strengthening, balance training, and training for recurrent fallers. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians


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