Alarming Nonfatal Overdose Rates Found for Opioids, Sedatives, and Tranquilizers

摘要: needed medications or minimizing other medications. Rubenstein explained that medication use by elderly patients can be a double-edged sword because some may help treat certain conditions also increase the risk of falls. In particular, psychotropic drugs, including sedative hypnotics, anxiolytics, antidepressants, and antipsychotics, older adults is associated with increases 50% to 60% in falling, he said. Polypharmacy has been an increased likelihood individual will experience fall. “We want minimize hazardous drugs extent possible,” The guideline recommended assessment treatment postural hypotension as one components multifactor fall risk-reduction interventions, B rating for evidence base. Based on new evidence, updated now advises physicians consider vitamin D supplementation. insufficient data were available recommend supplementation 2001 version. However, version notes studies have found treating just 15 deficiency supplemental prevent fall, such inexpensive unlikely cause harm. Other indicates might reduce muscle strength inhibit neuromuscular communication, according guideline. So recommends all individuals (evidence level A), considering who are suspected at higher falls B). suggests targeting any foot problems inappropriate footwear could contribute their patients. Anecdotal had previously suggested problems, bunions, ulcers, deformed nails, well worn, highheeled, improperly fitted shoes, this problem. But C-level from newer studies, which issues addressed part multifaceted approach, demonstrated reduction falls, noted. Accordingly, document comprehensive intervention patients, address advise wear walking shoes low heel large contact area.