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Peak bone mass enhancement in young age, bone loss reduction after menopause, and fall preventive measures are important to minimize fracture risk.
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This guideline has compiled research-based recommendations on fall-preventive measures and their effectiveness and was made available to hospital nursing staff in 2009 via the hospital's intranet.
Patients with a longer duration of disease, disability and recurrent falls need preventive measures.
They could learn who might be at greater risk of falls and suggest preventive measures, like changes in the home.
The etiology is often multifactorial making the identification of fall predictors essential for preventive measures.
Implementation of preventive measures such as falls prevention strategies, exercise and adequate calcium and vitamin D intake is recommended.
A cost-benefit analysis should be conducted, comparing direct and indirect costs of fall events with those of preventive measures.
The identification of these fall predictors allow for targeted preventive measures based on geriatric screening and assessment data.
The intervention consists of a systematic assessment of the putative causes of falling and subsequent targeted individualised preventive measures.
According to fall risk assessment and the implementation of preventive measures, several guidelines have been developed of which the guidelines of the American Geriatrics Society 'Prevention of falls in older persons' [ 39] and the NICE guideline 'Falls: assessment and prevention of falls in older people' [ 40] are recommended.
So, preventive measures in patients with high fall risk according to the identified fall predictors should be tailored considering all factors possibly contributing to higher odds of falling.
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