Abstract :
Falls are an important public health problem for older adults, resulting in significant morbidity and mortality. Falls are prevalent among older adults and can lead to serious injury, loss of independence, hospitalization, nursing-home admission, and increased healthcare costs. Environmental hazards, medications, vision problems, and impairments in strength, gait, or balance can increase fall risk. A multifactorial fall-risk assessment including a fall history, physical exam, gait and balance evaluation, and environmental assessment is recommended for all older adults who present with a fall or problem with gait or balance. The strongest evidence were found that included home evaluations and home modifications, exercise, education, vision and medication checks, or assistive technology to prevent falls. Multifaceted and individualized programs have been created to prevent falls in the elderly.