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Gray-Miceli, Deanna & Ratcliffe, Sarah J. & Liu, Sizhu & Wantland, Dean & Johnson, Jerry (2012). Orthostatic hypotension in elderly nursing home residents who fall: Are they dizzy?. Clinical Nursing Research, 21(1), 64-78. Retrieved from https://doi.org/doi:10.7282/T3959KFW

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Orthostatic hypotension in elderly nursing home residents who fall: Are they dizzy? (2012)
Deanna Gray-Miceli, Sarah J. Ratcliffe, Sizhu Liu, Dean Wantland, Jerry Johnson
Clinical Nursing Research 21(1): 64-78.
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AbstractOrthostatic hypotension (OH) and symptoms of dizziness have been identified as key factors in falls among older adults; however, gaps in the research literature about the presence of asymptomatic OH and its association with falls exist and have prompted this study to determine if falls among nursing home residents are associated with orthostatic hypotension in the absence of dizziness. A secondary analysis was conducted on blood pressure data and symptom experience of 77 older adult residents who experienced a fall while residing in a continuing care retirement community (CCRC). Data of interest were extrapolated from the Post-Fall Index. Of the 77 individuals with 194 RN documented falls, the majority (n=89, 46%) did not meet the diagnostic criteria of OH; 18 (9%) met criteria, and 8 (4%) nearly met OH criteria. OH blood pressure determinations were incomplete or absent in 41% (n=79). Of the 18 residents who fell and met OH criteria, none experienced dizziness. Conclusion: We conclude older nursing home residents do not exhibit symptoms of dizziness prior to orthostatic drops in blood pressure resulting in a fall. Further study is indicated to identify reliable predictors, besides symptom experience of OH in this population.
Persistent URLhttps://doi.org/doi:10.7282/T3959KFW
SubjectsOlder people, Nursing homes, Falls (Accidents)--Prevention, Modifiable falls, Hypotension, Orthostatic
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