Pharmacist's role in an interdisciplinary falls clinic

South Med J. 2011 Feb;104(2):143-6. doi: 10.1097/SMJ.0b013e318200c1ec.

Abstract

Falls are caused by many factors in older patients. Medications have been shown to be a risk factor for falls, and studies have shown that patients taking more than five total medications may have a two-fold increased risk of impaired balance. A more recent model suggests only medications with sedating and anticholinergic properties contribute significantly to physical impairment. The authors of this paper helped to develop a multidisciplinary clinic to evaluate the risk of falls in at-risk patients. We present the case of a woman on multiple medications that increased her risk of falling. Of note, this patient was taking a total of 14 prescription medications, seven of which were considered sedating. Based on a comprehensive medication evaluation, six specific changes were recommended to improve this patient's medication regimen and reduce her risk of falling.

Publication types

  • Case Reports

MeSH terms

  • Accidental Falls / prevention & control*
  • Aged
  • Drug Therapy, Combination / adverse effects
  • Drug-Related Side Effects and Adverse Reactions
  • Female
  • Humans
  • Inappropriate Prescribing / adverse effects
  • Patient Care Team
  • Pharmacists*
  • Postural Balance / drug effects
  • Professional Role
  • Risk Factors