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Biomedical subjects

R Tideiksaar

Publications and source records attributed to R Tideiksaar.

At least 19 recordsLinked to original sources

A multidisciplinary falls consultation service in a nursing home.

A Multidisciplinary Falls Consultation Service made possible a novel interdisciplinary approach to the patient as a faller. A team consisting of members from the medical, nursing, rehabilitation, administration, and activities departments reviewed epidemiological data on 323 falls and evaluated 24 patient referrals. Interventions at all clinical levels of staffing are being developed to reduce the risk of falling.

Accidental Falls

Geriatric falls: assessing the cause, preventing recurrence.

Falling represents a common and dangerous problem for the elderly. As a result, fall prevention has become a focus of clinical attention. This article examines why older people fall, what factors place persons at risk for falling, and how to prevent falls.

Accident Prevention

Responses of fourth-year medical students to a required clerkship in geriatrics.

Fourth-year medical students at the Mount Sinai School of Medicine of the City University of New York taking a required four-week clinical clerkship in geriatrics were surveyed before and after the clerkship on their knowledge of geriatrics, attitudes toward the elderly, and evaluation of the rotation. The students showed a significant improvement in their knowledge of geriatrics and gave a mildly favorable evaluation of geriatrics as a required clerkship. Their attitudes toward the elderly did not change, however. This latter finding may be related to favorable attitudes before the clerkship, some factor inherent to the clerkship, or the previously demonstrated lack of correlation between measured attitudes and behavior. The present authors suggest that educators, in establishing clinical clerkships in geriatrics, should focus on imparting knowledge in geriatrics, should assess students' acceptance of the clerkship carefully, and should not use changes in attitudes toward the elderly as the sole measure of the effectiveness of such a clerkship.

Attitude of Health Personnel

What causes falls? A logical diagnostic procedure.

Any fall in the elderly may signal impending major illness. Falls may be caused by any acute or chronic illness that causes weakness or dizziness. MI, stroke, or GI bleeding may well present with falls. A fall can be the first sign of urinary tract, respiratory, or gallbladder infection. Avoid open-ended questions, such as "What happened?" Patients often state they slipped or tripped--possibly not the true reason for the fall. Direct questions about symptoms ("Did you have difficulty in walking?" or "Did you feel dizzy?") elicit more specific information.

Accidental Falls