This post will look at falls which is one of the most written about topics in relation to the care of older people and people living with frailty.
The reason for this are quite clear. With an ageing population and more people living longer with complex health needs falls present an important challenge. In Scotland in 2017–2018, over 37,000 people – 22,400 of whom were over the age of 65 – were admitted to hospital because of a fall.
The Scottish Government have stated that we all need to do more and offer opportunities earlier in the lifespan to help older people age healthily to avoid or postpone the time at which they may fall or sustain a fracture.
Frailty can contribute to falls and result in a person making a slower or poorer recovery following a fall. Conversely, a fall can trigger or accelerate the progression of frailty. Some actions and approaches to prevent falls will also help prevent or slow the progression of frailty. These include being physically active and less sedentary, improving muscle strength and balance, promoting continence, and ensuring good medicines management and adequate nutrition.
The following SWAY presentation looks at the issues involved in managing frailty and falls in the community we hope you find it useful
It is worth noting that the Scottish Government was consulting on a new ‘National falls and fracture prevention strategy for 2019-2024.’ which has not been published yet. The consultation document is at https://www.gov.scot/publications/national-falls-fracture-prevention-strategy-scotland-2019-2024/pages/1/