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January 1, 2003New England Journal of Medicine1,673 citations

Preventing Falls in Elderly Persons

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MTMary E. Tinetti

Key Points

  • To explore interventions that can help prevent falls in elderly individuals with multiple chronic conditions.
  • Analyzed the medical history and medication use in a 79-year-old woman.
  • Discussed potential interventions to mitigate fall risk associated with her medications and chronic conditions.
  • The patient experienced two falls over the past six months despite stable chronic conditions.
  • The interplay between multiple medications may contribute to fall risk.

Abstract

A 79-year-old woman with a history of congestive heart failure, arthritis, depression, and difficulty sleeping presents for a follow-up visit. She takes several prescription medications, including an antidepressant, a diuretic, an angiotensin-converting–enzyme inhibitor, and a beta-blocker, as well as over-the-counter sleep and allergy medications. Her chronic conditions appear to be stable. Her daughter reports that the patient has fallen twice during the past six months. What can be done to prevent future falls?

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Cite This Study

Mary E. Tinetti (2003) studied this question.

synapsesocial.com/papers/69ffb7734716aad0cc8572cbhttps://doi.org/10.1056/nejmcp020719
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