[Management of orthostatic hypotension in the elderly]

Orthostatic hypotension (OH) is a common health problem that affects 6% to 30% of the community-dwelling elderly. OH prevalence has been found to increase with age, influence the individual's quality of life, and be associated with increased rates of morbidity and mortality. Referencing evidence-based reports, the aim of the present article was to construct an OH management protocol for the elderly with OH. Causes of OH can be generally divided into recoverable and unrecoverable types. Recoverable types refer to OH conditions in which the patient's original health status can be restored following treatment. If such cannot be achieved, medical staffs must consider the possibility of an underlying unrecoverable factor. To treat unrecoverable OH, non-pharmacological intervention should be applied first. If such fails, then pharmacological interventions should be considered. Whether recoverable or unrecoverable, OH treatment should control acute health problems and follow general prevention principles. Nursing staffs play a crucial role in OH treatment. This proposed protocol may assist clinical nursing staffs to provide more appropriate elderly care.