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  • © 2016

Medication-Related Falls in Older People

Causative Factors and Management Strategies

  • Serves as a repository of knowledge and scientific evidence concerning medications and their effects on falls risk

  • Informs readers of the complexity of the issue of medication related falls in older adults

  • Provide strategies for its management

Buying options

eBook USD 84.99
Price excludes VAT (USA)
  • ISBN: 978-3-319-32304-6
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book USD 109.99
Price excludes VAT (USA)
Hardcover Book USD 149.99
Price excludes VAT (USA)

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Table of contents (21 chapters)

  1. Front Matter

    Pages i-viii
  2. Background

    1. Front Matter

      Pages 1-1
    2. Introduction

      • Allen R. Huang, Louise Mallet
      Pages 3-5
    3. The Aging Population and Falls: Consequences and Costs

      • Paula M. Horsley, Allen R. Huang
      Pages 7-11
    4. Falls Count and Counting Falls: Making Sense of Data About Falls

      • Nancy E. Mayo, Sabrina M. Figueiredo
      Pages 13-38
  3. Drugs and Falls: Why Are Older People at Risk?

    1. Front Matter

      Pages 39-39
    2. Polypharmacy

      • Susan K. Bowles
      Pages 41-54
    3. Pharmacology of Drugs in Aging

      • Louise Mallet
      Pages 55-66
    4. Adverse Events and Falls

      • Shirley C. C. Huang, Alan J. Forster
      Pages 75-89
    5. Risk Factors for Falls in the Elderly

      • E. Kwan, S. Straus, J. Holroyd-Leduc
      Pages 91-101
  4. Medications Associated with Falls in the Elderly

    1. Front Matter

      Pages 103-103
    2. Psychotropic Drugs

      • Andrea Iaboni, Benoit H. Mulsant
      Pages 105-124
    3. Benzodiazepines

      • Annemie Somers, Mirko Petrovic
      Pages 125-133
    4. Antihypertensives and Cardiovascular Medications

      • Rebecca L. Salbu, Rosanne M. Leipzig, Fred C. Ko
      Pages 147-160
    5. Glucose Control Medications

      • Louise Mallet
      Pages 161-167
  5. Management of Medication-Related Falls

    1. Front Matter

      Pages 169-169
    2. Inappropriate Medications and Risk of Falls in Older Adults

      • Jennifer Greene Naples, Joseph T. Hanlon, Christine M. Ruby, Susan L. Greenspan
      Pages 171-177
    3. Identifying Explicit Criteria for the Prevention of Falls

      • Denis Curtin, Stephen Byrne, Denis O’Mahony
      Pages 179-189

About this book

Comprising a single repository of knowledge and scientific evidence in the field, this book provides strategies to mitigate fall risk by providing information on the complex interactions between aging processes, co-morbid conditions and prescribed medications in older patients.

Geriatric health is becoming a more prominent issue as the population ages, and balancing the beneficial effects of medication against the potential and real side-effects in these patients involves a deliberate and thoughtful task: physiologic aging, the accumulation of co-morbidities, and the use of drugs to manage various conditions and symptoms generates a unique set of problems for each patient.

Falls are a dreaded event in older people. The event can affect a person in a physical, and psychological manner, resulting in soft tissue and bony injury, fear of falling, and depression. The identification of and reduction in fall risks in older people is a worldwide concern, and reducing the incidence of falls is a ubiquitous quality measure of health care delivery. Heterogeneity amongst older people precludes a single solution. However, physicians and others involved in the care of geriatric patients will benefit from the presented insights into how medication use can be modified to limit its impact as a contributing factor.

Keywords

  • Adverse Events
  • Aging
  • Benzodiazepines
  • Drug withdrawal
  • Fall Risk
  • Inappropriate Medications
  • Information Technologies
  • Pharmacology
  • Physiology
  • Polypharmacy
  • Psychotropic Drugs

Reviews

“This book summarizes the current knowledge and research evidence about the potentially detrimental effects of medications on fall risk. … The book is appropriate for a wide range of audiences interested in the care of older adults, from healthcare providers and researchers to policy makers and family members. … This is useful as a reference for practitioners caring for older adults and concerned about fall risk and prevention, particularly related to commonly prescribed medications in this population.” (Lorraine J. Phillips, Doody's Book Reviews, November, 2016)

Editors and Affiliations

  • University of Ottawa and The Ottawa Hospital, Head, Division of Geriatric Medicine University of Ottawa and The Ottawa Hosp, Montréal, Canada

    Allen R. Huang

  • Head, Faculty of Pharmacy Université de Montréal, Université de Montréal, Montréal, Canada

    Louise Mallet

About the editors

Allen R. Huang is the Chief of Geriatric Medicine at the University of Ottawa and The Ottawa Hospital. He is a fellow of the Royal College of Physicians and Surgeons of Canada, the American College of Physicians and the American Geriatrics Society. He also serves on the board of the Canadian Geriatrics Society. His research interest is in the field of optimal prescribing for older people. He has published 40 papersand two book chapters. He serves on the editorial boards of Drugs and Aging and Journal of Population Therapeutics and Clinical Pharmacology. He is the recipient of the 2003 Qualcomm CDMA A-List award in the non-profit, impact category and the 2006 Prix J.-Armand-Bombardier award for innovation from the Association canadienne-francaise pour l’avancement des sciences.

Louise Mallet is a professor at the Faculty of Pharmacy, University of Montréal, Montréal, Québec, Canada and a clinical pharmacist on the geriatric consult team in the emergency room at McGill University Health Centre, Glen site.  Her primary research interest is inappropriate medication usage in elderly patients. She has published numerous papers, presented at conferences, and acted as co-editor of two French-language textbooks on medications in the elderly.  She is a member of the editorial review board for The Consultant Pharmacist journal and is associate editor for the French journal Pharmactuel. Dr. Mallet is a recipient of the Roger LeBlanc award, the Excellence in Geriatric Pharmacy Practice award from the American Society of Consultant pharmacists, and the prestigious award Prix Louis Hébert from the Quebec pharmaceutical Society. She has also been honoured by the Association des pharmaciens en établissements du santé du Québec for her work as a hospital pharmacist. She is a Fellow of the European Society of Clinical Pharmacy.

Bibliographic Information

  • Book Title: Medication-Related Falls in Older People

  • Book Subtitle: Causative Factors and Management Strategies

  • Editors: Allen R. Huang, Louise Mallet

  • DOI: https://doi.org/10.1007/978-3-319-32304-6

  • Publisher: Adis Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer International Publishing Switzerland 2016

  • Hardcover ISBN: 978-3-319-32302-2

  • Softcover ISBN: 978-3-319-81249-6

  • eBook ISBN: 978-3-319-32304-6

  • Edition Number: 1

  • Number of Pages: VIII, 261

  • Number of Illustrations: 3 b/w illustrations, 9 illustrations in colour

  • Topics: Geriatrics, Pharmacology, General Practice and Family Medicine

Buying options

eBook USD 84.99
Price excludes VAT (USA)
  • ISBN: 978-3-319-32304-6
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book USD 109.99
Price excludes VAT (USA)
Hardcover Book USD 149.99
Price excludes VAT (USA)