No self-medication here.
The New York Times blogger here: A better article to read.
http://newoldage.blogs.nytimes.com/2012/07/12/scientists-weigh-in-on-fall-prevention/
The abstract here:
http://annals.org/article.aspx?doi=10.7326/0003-4819-157-3-201208070-00462
Description:
Update of the 1996 U.S. Preventive Services
Task Force (USPSTF) recommendation statement on counseling to prevent household
and recreational injuries, including falls.
Methods: The USPSTF reviewed new evidence on the effectiveness and harms of primary care–relevant interventions to prevent falls in community-dwelling older adults. The interventions were grouped into 5 main categories: multifactorial clinical assessment (with or without direct intervention), clinical management (with or without screening), clinical education or behavioral counseling, home hazard modification, and exercise or physical therapy.
Recommendations: The USPSTF recommends exercise or physical therapy and vitamin D supplementation to prevent falls in community-dwelling adults aged 65 years or older who are at increased risk for falls. (Grade B recommendation)
The USPSTF does not recommend automatically performing an in-depth multifactorial risk assessment in conjunction with comprehensive management of identified risks to prevent falls in community-dwelling adults aged 65 years or older because the likelihood of benefit is small. In determining whether this service is appropriate in individual cases, patients and clinicians should consider the balance of benefits and harms on the basis of the circumstances of prior falls, comorbid medical conditions, and patient values. (Grade C recommendation)
Methods: The USPSTF reviewed new evidence on the effectiveness and harms of primary care–relevant interventions to prevent falls in community-dwelling older adults. The interventions were grouped into 5 main categories: multifactorial clinical assessment (with or without direct intervention), clinical management (with or without screening), clinical education or behavioral counseling, home hazard modification, and exercise or physical therapy.
Recommendations: The USPSTF recommends exercise or physical therapy and vitamin D supplementation to prevent falls in community-dwelling adults aged 65 years or older who are at increased risk for falls. (Grade B recommendation)
The USPSTF does not recommend automatically performing an in-depth multifactorial risk assessment in conjunction with comprehensive management of identified risks to prevent falls in community-dwelling adults aged 65 years or older because the likelihood of benefit is small. In determining whether this service is appropriate in individual cases, patients and clinicians should consider the balance of benefits and harms on the basis of the circumstances of prior falls, comorbid medical conditions, and patient values. (Grade C recommendation)
The USPSTF recommends exercise or physical therapy and
vitamin D supplementation to prevent falls in community-dwelling adults aged 65
years or older who are at increased risk for falls. This is a B
recommendation.
No single recommended tool or brief approach can
reliably identify older adults at increased risk for falls, but several
reasonable and feasible approaches are available for primary care clinicians.
See the Clinical Considerations section for additional information on risk
assessment.
The USPSTF does not recommend automatically performing
an in-depth multifactorial risk assessment in conjunction with comprehensive
management of identified risks to prevent falls in community-dwelling adults
aged 65 years or older because the likelihood of benefit is small. In
determining whether this service is appropriate in individual cases, patients
and clinicians should consider the balance of benefits and harms on the basis
of the circumstances of prior falls, comorbid medical conditions, and patient
values. This is a C recommendation.
See the Clinical Considerations section for more
information about providing this service for individual patients.
No comments:
Post a Comment