Falls as a Common Problem in Elderly People with Neurological Diseases

M. Biercewicz
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Abstract

According to the WHO definition, a fall is defined as an event that causes a person to accidentally land on the ground, floor or other lower level. A fall can cause serious physical injury and may result in death. Neurological diseases, including Parkinson’s disease, stroke or dementia, due to their course, significantly increase the risk of occurrence of this dangerous event. One of the important problems to which attention should be paid in these diseases, unfortunately not very often noticed, are falls. The aim of the study is to present the problem of falls in a group of elderly people with accompanying selected neurological diseases (Parkinson’s disease, stroke, Alzheimer’s disease), as well as the possibility of their assessment and prevention based on the analysis of the available literature on the subject (literature). According to the literature on the subject, falls are a common problem in neurological diseases, in particular Parkinson’s disease, stroke and Alzheimer’s disease. The frequency of falls that patients experience within one year of the onset of the diseases is high and increases with the progression of the disease. The occurrence of falls has a negative impact on the quality of life of patients, it may be associated with institutionalization and dependence on the caregiver. Fall prevention is an important part of the life of patients with neurological diseases. Raising awareness among patients and their caregivers is essential for them to take care of their health and to consciously prevent falls. The nurse plays an important role in the prevention of falls because she prepares the patient to live with the existing problem and self-care, and provides the patient with safe conditions in the care environment. (JNNN 2022;11(3):137–141)
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跌倒是老年神经系统疾病患者的常见问题
根据世卫组织的定义,跌倒被定义为导致人意外落在地面、地板或其他较低水平的事件。跌倒会造成严重的身体伤害,甚至可能导致死亡。神经系统疾病,包括帕金森氏病、中风或痴呆,由于其病程,大大增加了发生这种危险事件的风险。在这些疾病中需要注意的一个重要问题是跌倒,不幸的是,这个问题不常被注意到。该研究的目的是介绍一组伴有特定神经系统疾病(帕金森病、中风、阿尔茨海默病)的老年人的跌倒问题,以及根据对有关该主题的现有文献(文献)的分析对其进行评估和预防的可能性。根据这方面的文献,跌倒是神经系统疾病的常见问题,尤其是帕金森病、中风和阿尔茨海默病。患者在发病一年内跌倒的频率很高,并随着疾病的进展而增加。跌倒的发生对患者的生活质量有负面影响,它可能与机构化和对照顾者的依赖有关。预防跌倒是神经系统疾病患者生活的重要组成部分。提高患者及其护理人员的意识对于他们照顾自己的健康和有意识地预防跌倒至关重要。护士在预防跌倒中扮演着重要的角色,因为她让病人准备好面对现有的问题和自我护理,并为病人提供安全的护理环境条件。(JNNN 2022; 11 (3): 137 - 141)
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