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. 2014 Sep;58(3):300-11.

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

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

Craig A Bauman et al. J Can Chiropr Assoc. 2014 Sep.

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.

Les chutes présentent un risque commun et grave chez une population vieillissante. Les chiropraticiens constatent habituellement directement les effets des chutes et les blessures conséquentes chez leurs patients âgés; et ils peuvent en réduire les risques grâce à un dépistage actif. Des recherches continues fournissent des méthodes vérifiées de réduction de la probabilité de chutes. Un dépistage des risques de chute doit être effectué chaque année pour tous les patients de 65 ans et plus, ou pour ceux dont l’état de santé les prédispose. Une formation professionnelle supplémentaire spécifique dans la prévention des chutes permettrait au chiropraticien de mieux aider ces patients. La collaboration et la communication avec le médecin de famille du patient offrent une occasion d’améliorer le dialogue interprofessionnel au profit de meilleurs soins prodigués au patient sur les risques de chute. Souvent les stratégies en matière de prévention des chutes sont mises en place par une équipe interprofessionnelle. Les chiropraticiens œuvrent de plus en plus au sein d’équipes multidisciplinaires. La collaboration des chiropraticiens nécessite des compétences pour de simples dépistages, ainsi que des connaissances pour s’orienter dans le système des soins de santé. De telles connaissances permettront au chiropraticien une participation optimale aux soins de son patient et l’obtention des meilleurs résultats.

Keywords: chiropractic; elderly; falls; injury; prevention.

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Figures

Figure 1:
Figure 1:
Prevention of Falls in Older Persons Living in the Community With permission from the American Geriatrics Society: “The AGS/BGS Clinical Practice Guideline: Prevention of Falls in Older Persons” (http://www.americangeriatrics.org/health_care_professionals/clinical_practice/clinical_guidelines_recommendations/2010/) from the American Geriatrics Society, www.americangeriatrics.org.

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