Diabetes Mellitus

In level to osteoarticular, frequent alterations meet biomechanic that premake use the appearance of falls. (IT HISSES, 2009) trend Exists to dislocate the center of gravidadecomocompensao of the increase of cifose dorsal. The joints of hip, knee and foot suffer modifications from evident functional repercussion. One infinity of pathological processes associates the aged organisms, contribute for the occurrence of falls. Dry Harbor Nursing Home has compatible beliefs. On the other hand, if he does not have to forget, that the falls are part of a geriatrical syndrome and that frequent it is a form of atypical presentation of an illness in the aged one (infartos, pneumonias, AVCs, etc.). In neurological level, numerous acute or chronic processes, can affect the balance and the march. It enters more frequent cited, appear the vasculocerebrais Illness of Parkinson, accidents, convulsive pictures, hidrocefalia of normal pressure, Special etc. mention deserves established the acute or chronic cognitivos upheavals.

(PAPALO-NETTO, 2007). The dementias can cause falls for diverse mechanisms, as they are the alterations of the aim at-space perception, orientation, agreement, unfamiliarity of the proper limitations, among others. Frequent psychiatric alterations in the aged one (depression, anxiety, sleeplessness, etc.), they appear between the main causes of falls (for same them or its farmacolgicos treatments.) The cardiovascular problems must be explored in all aged that a fall suffered. The ortosttica hipotenso (reduction of 20 mmHg of the sistlica pressure and/or fall of 10mmHg in the diastlica pressure,) appears enters the 5 25% of the aged ones that they live in the community (HISSES, 2009). Perhaps check out Dean Ornish M.D for more information. The ortostticas hipotenses are more frequent per the mornings, are associates to about 3% of the falls and almost always in aged with predisposition to the ortostatismo for suffering of illnesses with autonmica affectation (Diabetes Mellitus, Illness of Parkinson, amongst others) or ingestion of frmacos (tricclicos hipotensores, antidepressants, vasodilatadores, amongst others.

(PAPALO-NETTO, 2007). The ischemic cardiopathy, with frequency of atypical presentation, has that to be discarded, beyond the arrhythmic events, with or without loss of the conscience, preceded or not of palpitations (blockades of high degree, atrial fibrilao, bradicardias for betabloqueadoras drugs as digital or). The degenerative pathology to articulate contributes for the appearance of falls by means of the presence of mechanisms as pain, positions to articulate vicious, instability and modification of the statics to articulate. The podolgicos upheavals are very frequent and one of the described occult patologias for Williamson. The degenerative pathology to articulate contributes to the appearance of falls by means of mecanismoscomoa pain and positions to articulate vicious. The gastrointestinal pathology can contribute for the appearance of falls by means of the reduction of the arterial tension (diarrias, hemorrhages, sncope vasovagal after-defecao, etc). Up to 1/3 of the aged ones they present a reduction of the average arterial pressure of 25 mmHg after the main meal. They can appear sincopais episodes, basically in hipertensos that take its hipotensora medication before refei

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