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基于社区的跌倒预防:来自跨专业流动诊所的经验教训。

Community-based falls prevention: lessons from an Interprofessional Mobility Clinic.

作者信息

Bauman Craig A, Milligan James D, Patel Tejal, Pritchard Sarah, Labreche Tammy, Dillon-Martin Sharon, Ilich Alexandra, Riva John J

机构信息

Department of Family Medicine, McMaster University, Hamilton, Ontario. ; The Centre for Family Medicine Family Health Team, Kitchener, Ontario.

Department of Family Medicine, McMaster University, Hamilton, Ontario. ; The Centre for Family Medicine Family Health Team, Kitchener, Ontario. ; School of Pharmacy, University of Waterloo, Kitchener, Ontario.

出版信息

J Can Chiropr Assoc. 2014 Sep;58(3):300-11.

PMID:25202159
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4139769/
Abstract

Falls are a common and serious risk with an aging population. Chiropractors commonly see firsthand the effects of falls and resulting injuries in their senior patients and they can reduce falls risk through active screening. Ongoing research has provided proven approaches for making falls less likely. Screening for falls should be done yearly for all patients 65 years and older or in those with a predisposing medical condition. Additional specific falls prevention professional education would enable the chiropractor to best assist these patients. Collaboration and communication with the patient's family physician offers an opportunity for improved interprofessional dialogue to enhance patient care related to falls risk. Frequently falls prevention strategies are implemented by an interprofessional team. Chiropractors increasingly contribute within multidisciplinary teams. Collaboration by the chiropractor requires both simple screening and knowledge of health care system navigation. Such awareness can permit optimal participation in the care of their patient and the best outcome.

摘要

随着人口老龄化,跌倒成为一种常见且严重的风险。脊椎按摩师经常能直接看到老年患者跌倒的影响及由此导致的损伤,他们可以通过积极筛查来降低跌倒风险。正在进行的研究已经提供了经证实的降低跌倒可能性的方法。对于所有65岁及以上的患者或有易患疾病的患者,应每年进行跌倒筛查。额外的特定预防跌倒专业教育将使脊椎按摩师能够更好地帮助这些患者。与患者的家庭医生合作与沟通,为改善跨专业对话提供了机会,以加强与跌倒风险相关的患者护理。预防跌倒策略通常由跨专业团队实施。脊椎按摩师在多学科团队中的贡献越来越大。脊椎按摩师的合作既需要简单的筛查,也需要了解医疗保健系统的运作。这种意识可以使他们在患者护理中实现最佳参与并取得最佳结果。

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本文引用的文献

1
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Nurs Older People. 2014 Jul;26(6):18-24. doi: 10.7748/nop.26.6.18.e586.
2
Vitamin D and vitamin D analogues for preventing fractures in post-menopausal women and older men.维生素D及维生素D类似物用于预防绝经后女性和老年男性骨折
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Vitamin D and multiple health outcomes: umbrella review of systematic reviews and meta-analyses of observational studies and randomised trials.维生素 D 与多种健康结局:观察性研究和随机试验的系统评价和荟萃分析的伞状评价。
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Fall prevention in the elderly.老年人跌倒预防
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Depressive symptomatology as a risk factor for falls in older people: systematic review and meta-analysis.抑郁症状作为老年人跌倒的危险因素:系统评价和荟萃分析。
J Am Geriatr Soc. 2013 May;61(5):694-706. doi: 10.1111/jgs.12209. Epub 2013 Apr 25.
6
Discriminative ability and predictive validity of the timed up and go test in identifying older people who fall: systematic review and meta-analysis.计时起立行走测试在识别老年人跌倒方面的区分能力和预测效度:系统评价和荟萃分析。
J Am Geriatr Soc. 2013 Feb;61(2):202-8. doi: 10.1111/jgs.12106. Epub 2013 Jan 25.
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The growing problem of illicit substance abuse in the elderly: a review.老年人中非法药物滥用问题日益严重:综述
Prim Care Companion CNS Disord. 2012;14(4). doi: 10.4088/PCC.11r01320. Epub 2012 Jul 12.
8
Spinal cord injuries as a consequence of falls: are there differential rehabilitation outcomes?脊髓损伤是跌倒的后果:康复结果是否存在差异?
Spinal Cord. 2013 Mar;51(3):209-13. doi: 10.1038/sc.2012.124. Epub 2012 Dec 18.
9
Interventions for preventing falls in older people living in the community.针对社区中老年人预防跌倒的干预措施。
Cochrane Database Syst Rev. 2012 Sep 12;2012(9):CD007146. doi: 10.1002/14651858.CD007146.pub3.
10
Medication-related falls in the elderly: causative factors and preventive strategies.老年人与药物相关的跌倒:病因和预防策略。
Drugs Aging. 2012 May 1;29(5):359-76. doi: 10.2165/11599460-000000000-00000.