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- $Unique_ID{BRK01121}
- $Pretitle{}
- $Title{When An Older Person Falls}
- $Subject{brain stroke strokes aging age aged old older elderly geriatric
- Circulatory transient ischemic attack attacks accident accidents
- Neurological gait mobility vertigo dizzy dizziness eyesight vision blood
- pressure postural hypotension Muscle weakness anemia diet emotional
- geriatrics}
- $Volume{G-1, T-1}
- $Log{
- Causes and Symptoms of Vertigo*0007501.scf
- Symptoms of Anemia*0009202.scf
- Dietary Cause of Anemia*0009203.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- When An Older Person Falls
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- QUESTION: My mother lives alone in another city. We received a call from her
- neighbors that she fell in her apartment, but now seems well enough. She
- refuses to go to the doctor, and we are worried that she may have had a small
- stroke. Is this a possibility? Can you please counsel us?
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- ANSWER: When an older person falls, especially when there are no witnesses
- present, it may take a bit of detective work to determine just what did
- happen. Certainly a small stroke is a possibility, or a T.I.A. (transient
- ischemic attack). In the case of a T.I.A., there may be no signs left after a
- brief period of time to help clear up the situation, and the mystery may never
- be completely resolved without medical evaluation. However, since these
- attacks may recur a diagnosis and treatment is certainly required now, and it
- may require a visit from a close member of the family to convince your mother
- of the seriousness of the problem. Many older people will not remember all
- the particulars of an accident or recall the circumstances that preceded the
- fall. A careful look around her apartment may reveal the source or potential
- sources for an accident. Dark, or poorly lit halls and corridors, slippery
- floor surfaces or scatter rugs, boxes or other small objects lying about may
- trip anyone, and should be cleaned up or removed. More important still, to my
- medical mind, are all the conditions still undiagnosed that can contribute to
- these reported falls. Neurological problems that change the gait or mobility,
- vertigo or dizziness, failing eyesight (perhaps from developing cataracts),
- reactions from new medications or even the sudden lowering of blood pressure
- that occurs when standing or arising too swiftly (postural hypotension) all
- may be the underlying cause of a "simple" fall. Muscle weakness, anemia, poor
- eating habits and emotional problems can also be contributing factors, and
- the list can go on and on. While it may be but an isolated accident, it would
- be unwise to allow the situation to go unexplained, and imprudent to overlook
- the possibility that there are medical circumstances that caused this episode
- that can be treated, and so prevent a future fall that could lead to greater
- tragedy. My advice, either get someone into that home that your mother
- respects, or start packing your bags for a most necessary journey.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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