The topic content is divided into the information types below
12. CGA in primary care settings: Patients at risk of falls and fractures
Often a key component of Comprehensive Geriatric Assessment in primary care, this guide examines step-by-step how to carry out a multifactorial risk assessment for falls.
Cochrane review: Multifactorial & multicomponent interventions for preventing falls in the community, care facilities and hospitals
Two separate Cochrane reviews published in 2018 looked at multifactorial and multiple component interventions for preventing falls in older people living in the community, and care facilities and hospitals
2018 NICE impact report on falls and fragility fractures
NICE impact reports review how NICE recommendations for evidence-based and cost-effective care are being used in priority areas of the health and care system, helping to improve outcomes where this is needed most.
Hip fracture management - plenty of guidelines, not enough evidence
Roger Jay argues that there is a plethora of guidelines governing hip fracture, but very little evidence. He contrasts this with stroke where evidence has been the focus, to good effect. Stroke has led the way - we need evidence for managing the hip fracture patient.
Evaluation of an Otago Exercise Programme and behaviour change techniques to ensure adherence
In this study, the Otago Exercise Programme is enhanced with behaviour change techniques with a view to improving adherence to home exercise in frail older people
Clarification of training requirements for higher specialist trainees in Geriatric Medicine in Orthogeriatrics
This curriculum is based on the specialty training curriculum for geriatric medicine, formulated in August 2010 (amended in 2016).
A quality improvement programme that uses specially trained nurses to introduce an evidence based care bundle to reduce inpatient falls
Benzodiazepines and falls risk
Falls are a frequent and frightening issue for patients and staff, and they have physical and psychological consequences for individuals and society. They are costly in human and financial terms (National Institute for Health and Clinical ExceIlence 2004).
Clinical guidelines on falls and fractures
Guidelines from NICE and Public Health England on prevention of falls and fractures, and the diagnosis and management of hip fractures.
Deconditioning and loss of functional abilities in frail older people may start soon after arriving in hospital. Many end up in a care home prematurely because of it. This campaign, with downloadable resources, aims to encourage patients to 'Sit up, get dressed, keep moving!'
Care of patients with fragility fracture (Blue Book)
Fracture services often fail to respond to the true complexity of their older patients’ needs. The Care of Patients with Fragility Fracture (the 'Blue Book', available as a download) sets out best practice in the care and prevention of fragility fractures.