Vasovagal Syncope and Falls in Geriatrics

Introduction:

Vasovagal syncope is a common condition among older adults and can result in fall-related injuries. The symptoms of vasovagal episodes can be recognised by patients and reduced through self-management strategies. Therefore, increasing patient and family/carer education surrounding this condition could help reduce falls and ultimately reduce hospital admissions. The aim of this QIP was to assess doctors existing practises regarding patients presenting with falls due to vasovagal syncope, patient education, and assessing whether a leaflet providing further information would be beneficial.

Method:

A questionnaire-based study was conducted via Microsoft forms and doctors of varying grades and specialities were asked to complete. The participants were asked about their current practises regarding educating patients on vasovagal syncope and whether they thought a leaflet provided by the trust would be helpful in the overall management.

Results:

A total of 30 doctors completed the questionnaire. 96% of participates thought leaflets providing information and advice on vasovagal syncope would be helpful. Just over 2/3 of participants do not currently document management in discharge letters, with most participants opting to give verbal advice and 1/3 using leaflets from various sources. Participants noted that a leaflet would be particularly helpful in emergency settings and would allow patients to read information later in a more relaxed environment as well as being able to share with family members. Participants commented that it would be beneficial if the leaflets were easily accessible and in an easy-to-read format for the older population.

Conclusion:

Doctors agreed that distributing leaflets to patients presenting with vasovagal syncope would help decrease the risk of future falls through educating patients on the condition, highlighting what to do if they feel faint and overall, what they can do to reduce the risk of future episodes and possibly reduce admission to hospitals.