FFN considers falls prevention and management of osteoporosis to be the two essential and complementary pillars of an integrated approach to secondary fracture prevention. This approach was strongly endorsed in the U.K. Blue Book on the care of patients with fragility fracture. The ‘Blue Books’ from Spain and the United States take a similar view. See:
- Spain: Sociedad Española de Fracturas Osteoporóticas (SEFRAOS). Libro Azul de la Fractura Osteoporótica en España. 2012. Link.
- United Kingdom: British Orthopaedic Association and British Geriatrics Society. The care of patients with fragility fracture. 2007. Link.
- United States: Bukata SV, Digiovanni BF, Friedman SM et al. A guide to improving the care of patients with fragility fractures. 2011. Link.
Fear of falling
Falls are very common among older people:
- One third of the population aged ≥65 years and above fall each year
- One half of people aged ≥85 years fall each year
- Half of those who fall once will fall again
Suffering a fall often leads to development of fear of falling which, in turn, may result in older people restricting their activities and suffering social isolation. A review from the United States noted that up to half of residents in long-term care suffer fear of falling. This review considers the epidemiology of fear of falling and evidence for interventions:
- Impact of fear of falling in long term care: an integrative review. J Am Med Dir Assoc. 2013 Aug;14(8):573-577. PubMed ID 23602257