Marcus Robin L, Graybill Charles S, Lastayo Paul C
Division of Physical Therapy, Department of Exercise and Sport Science, University of Utah, Salt Lake City, USA.
Clin Obstet Gynecol. 2007 Sep;50(3):776-89. doi: 10.1097/GRF.0b013e3180dbc37d.
Older women should be screened for fall risk frequently. Falls are preventable and screening can be as simple as asking "Have you fallen in the past year?" combined with questioning about gait or balance problems if the patient has not experienced a recent fall. A simple physician screen can drive the need for a more comprehensive fall evaluation and the appropriateness of a multifactorial fall reduction program referral. This paper describes an algorithmic management approach to fall prevention in older women with impaired muscle and mobility; assisting them in navigating and mitigating adversity on the road from menopause to frailty.
老年女性应经常进行跌倒风险筛查。跌倒是可预防的,筛查可以很简单,比如问“你在过去一年里跌倒过吗?”如果患者近期没有跌倒,还可以询问步态或平衡问题。简单的医生筛查可以推动更全面的跌倒评估需求以及多因素跌倒预防计划转诊的适宜性。本文描述了一种针对肌肉和行动能力受损的老年女性预防跌倒的算法管理方法;帮助她们在从更年期到衰弱的过程中应对和减轻逆境。