Friability

Introduction Friability is a physiological state characterized by increased vulnerability to stressors caused by decreased physiologic reserves. It is an endpoint of multiple disease processes Aetiology Multifactorial Lack of physical exercise and undernutrition play major roles Clinical features Symptoms Anorexia Fatigue Inactivity Weakness Weight loss Signs Abnormalities of gait and balance Deconditioning (loss of physical … Read more

Falls

Introduction A fall is to inadvertently come to rest on the ground or lower level with or without loss of consciousness or injury. The diagnosis excludes falls associated with intrinsic events e.g. seizures, stroke or syncope, or falls from overwhelming environmental hazards. It may be an atypical presentation of acute illness in an older adult. … Read more

Elder Mistreatment (Elder Abuse)

Introduction Elder abuse is a single or repeated act, or lack of appropriate action, occurring within any relationship where there is an expectation of trust, which causes harm or distress to an older person. Elder Mistreatment or abuse is acts that cause harm to vulnerable elderly persons It occurs deliberately or through neglect It is … Read more

Decubitus (Pressure) Ulcers

Introduction Bedsores otherwise known as pressure ulcers and decubitus ulcersĀ  are injuries to skin and underlying tissue resulting from prolonged pressure on the skin. Decubitus ulcers most often develop on skin that covers bony areas of the body, such as the heels, ankles, hips and tailbone. They are localized physical manifestation of changes in blood … Read more