Falls
Jerry Fisher - Physical Therapist
I put
The Patient
in the center of the way I practice my rehabilitation skills.
A Fall is defined in the Merriam-Webster Dictionary as:
1) to come or go down quickly from a high place or position
2) to come or go down suddenly from a standing position
2) to let yourself come or go down to a lower position
A Fall to a physical therapist is defined as:
an unintentional, unexpected, and unplanned lowering of the body's position in space with or without injury. A fall does not have to end on the floor, does not have to happen quickly, and does not have to happen from a high place or standing position. Sliding out of a chair is considered a fall.
Falls can diminish your ability to lead an active and independent life. According to Move Forward PT about one-third of people over the age of 65 and almost half of the people over the age of 80 will fall at least once this year.
A fall can result in:
Injury
* Hip fractures are serious fall injuries that often result in long-term functional impairment, nursing home admission and increased mortality.
* Greater than 95% of hip fractures in elders result from a fall.
* As our population ages, the number of hip fractures is likely to increase.
Institutionalization
* Annually, there are at least 258,000 hospital admissions for hip fractures among people aged 65 and older.
* By 2030, the number of hip fractures is projected to reach 289,000, an increase of 12%.
* Treatment for a hip fracture typically includes hospitalization and surgery, and is frequently followed by admission to a nursing home and extensive rehabilitation.
* One in three adults who lived independently before their hip fracture remains in a nursing home for at least a year after their injury.
Diminished quality of life
* Fear of falling again.
* Loss of independent function.
* Restricted socialization.
Mortality
* Death from falls or fall related injuries is the sixth leading cause of death for adults over 65 years old and the leading cause of death for adults over 80 years old.
* A large proportion of fall deaths are due to complication following a hip fracture. One out of five hip fracture patients dies within a year of their injury.
* There were more than 30,000 fall related deaths in the U.S. in 2013
 
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