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Watch as EMTs treat patients who have slipped and fallen in this compilation from Nightwatch.Watch the latest clips from Nightwatch here: https://www.youtube...
- 15 min
- 117.5K
- A&E
Aug 14, 2023 · In many cases, the frequency or aggressiveness of falls can keep patients awake, preventing them from entering regular sleep cycles and increasing their risk of sleep-related anxiety. In the long term, regularly falling out of bed can lead to sleep-onset insomnia.
Mar 22, 2023 · Nightfall is a natural physiological occurrence that typically happens to adolescent and young adult males during their sleep. It refers to an involuntary ejaculation of semen during sleep, often accompanied by sexual dreams or fantasies.
- Background
- History of Presenting Complaint
- Social History
- Medication Review
- Investigations
- Differential Diagnosis
- Management
- References
Those over the age of 65 have the highest risk of falling with 30% of those over 65 and 50% of those over 80 falling at least once a year.¹ Falls can have a profoundly negative impact on the quality of life of the elderly and their carers. Physical distress, pain and injury are also associated with loss of confidence and independence. This negative...
A detailed historyis essential in determining the cause of falls. The table below highlights key information that should be gathered when taking a history. Be cautious in cases where the patient is unable to recall events clearly, as this may indicate new confusion associated with a head injury.
Alcohol intakeSupport at home – friends/family and carersMobility – use of mobility aids and when (e.g. zimmer frame downstairs only)Most medications have side effectswhich can increase the likelihood of falls. Polypharmacy itself is a risk factor for falls. It is good practice to review medications and de-prescribe those which are no-longer indicated. Examples of medications that increase the risk of falls: 1. Beta-blockers (bradycardia) 2. Diabetic medications (hypoglycaemia) ...
Investigationsare based on your history and examination but could include some of those mentioned below.
The differential diagnosis of falls is very broad. It is important to determine whether the patient has suffered a transient loss of consciousness or a simple mechanical fall. Some possible causes of falls are shown in the table below.
Once transient loss of consciousness has been ruled out, it is important to complete a full falls risk assessment. This is indicated in order to identify any causative features especially as older people are likely to have multiple co-existing risk factors. Although priority should be to treat any underlying medical cause (e.g. pacemaker if complet...
Falls in older people: assessing risk and prevention. Clinical guideline [CG161]. Published date:June 2013. Available from: [LINK]
Feb 13, 2024 · Explore the critical link between falls, brain haemorrhages and the symptoms experienced in adults over the age of 65. This video highlights the two main types of haemorrhages resulting from...
- 1 min
- 284
- Brain Rehabilitation
Jun 18, 2024 · If you’ve hurt yourself during a fall, you can find treatment advice for muscle, bone and joint injuries. What to do if someone else falls. It can take a few minutes to feel pain from injuries. If someone else falls it’s important to reassure them, and assess the situation together, before you act.
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May 29, 2024 · Night terrors are less common among adults. Adults may be more injury-prone than children, as many people suddenly get out of bed when one happens. Night terrors in adults usually point to an underlying mental health condition, like post-traumatic stress disorder or anxiety disorder.
