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Falls are common in the elderly and increase with age. One third of people over the age of 65 will fall at least once in a year. This figure increases to half in people over the age of 80. They are the most common cause of death from injury in people over 65 and cost the NHS over £2 billion a year. Older people with dementia and cognitive impairment have been shown to fall twice as much as their cognitively in-tact peers. NICE recommends that falls preventions programmes should be multifactorial and incorporate strength and balance training, home hazard assessments and interventions, vision assessment and referral with medication review. There is, however, evidence to suggest that this type of intervention may not be as effective in people with dementia at reducing falls. The purpose of this literature review is to examine recent evidence to establish if there are any effective interventions to reduce falls in those with dementia. Conclusion: Evidence for effective fall prevention programs in dementia is limited and often conflicting. Further research is needed to address what is a significant problem that is likely to increase as the world ages and rates of dementia increase. At this present time, there is insufficient evidence to support the use of any intervention to prevent falls in those with dementia. In the meantime, hospital trusts and care homes may need to consider novel approaches to reducing falls.
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Citations : 5
Journal of Dementia received 5 citations as per Google Scholar report
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