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Updated: Dec 24, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Falls in Older Adults are Serious
Raju Vaishya1, Abhishek Vaish1
1Department of Orthopaedics and Joint Replacement Surgery, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi, 110076 India.
Falls in older adults are a growing epidemic, often caused by multiple factors. A multidisciplinary approach focusing on prevention, especially safe living environments, is crucial for managing this issue effectively.
Area of Science:
- Gerontology
- Public Health
- Geriatric Medicine
Background:
- Falls are a common and serious issue for older adults, leading to morbidity, mortality, and loss of independence.
- Approximately 10% of older adults experience multiple falls annually, incurring significant healthcare costs.
- Falls threaten independence and can result in substantial socioeconomic consequences for individuals and the healthcare system.
Purpose of the Study:
- To review the multifactorial nature of falls in older adults.
- To emphasize the importance of a multidisciplinary approach to fall prevention and management.
- To highlight the role of environmental and intrinsic factors in fall risk.
Main Methods:
- An extensive literature search was conducted using PubMed, SCOPUS, and Google Scholar.
- Relevant articles were identified and reviewed to synthesize information on falls in older adults.
- Information was systematically derived from selected studies for this comprehensive review.
Main Results:
- Falls in older individuals are frequently multifactorial, necessitating a multidisciplinary approach.
- Risk factors for falls can be categorized into extrinsic, intrinsic, and situational factors.
- Common and severe injuries include head trauma and fractures, often exacerbated by bone fragility.
Conclusions:
- Falls among the elderly are increasing, resembling an epidemic.
- Fall prevention is more effective than management; a safe living environment is key.
- Management strategies should address causative factors alongside injury treatment.
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