Cheng Zhengxin made suggestions based on the National Health Administration's "Trilogy of Fall Prevention", including training muscle strength and balance, following the doctor's advice on medication, regularly checking home safety and anti-skid, paying attention to reflective signs when going out, and not walking on the road. Wait. In terms of regular exercise and taking medication as prescribed by the doctor, the older the elderly, the more they need to move in order to enhance the muscle strength of their lower limbs and their body's flexibility and balance.
The old man really cannot fall! A 90-year-old grandma Guo from Tainan City slipped and hit her head at home a few days ago. She fell into coma and was rushed to Annan Hospital for treatment. Neurosurgeon Cheng Zhengxin performed a brain computed tomography and found that the grandmother injured her head when she fell, causing acute subdural hemorrhage. The blood clot compressed the brain and her life was in danger. Therefore, an emergency craniotomy was arranged to remove the blood clot. After two weeks of treatment in the intensive care unit after the operation, Grandma Guo finally regained consciousness and was transferred to the general ward to continue rehabilitation treatment.
Impact rupture of the dura mater may damage neurological function
Cheng Zhengxin said that the dura mater is a layer of connective tissue covering the surface of the brain. After a strong impact, the blood vessels on the surface of the brain may be damaged. Rupture and bleeding may cause subdural hemorrhage, which directly compresses the brain tissue and damages neurological function, requiring emergency surgery. If the brain damage is too severe, there may be long-term coma or even death from central nervous system failure.
The elderly are the most dangerous among the many fall accidents
According to the top ten causes of death in China announced by the Ministry of Health and Welfare in 2017, accident injuries still ranked sixth, and the number of elderly people in the country still ranked sixth. The number one cause of accident injury and death is traffic accidents, followed by falls. Research shows that compared with traffic accidents, falls among the elderly are actually easier to prevent. It is also recommended that the elderly should not limit their activities just because they have fallen before, leading to a vicious cycle of gradual loss of function and mobility.
According to the 2013 National Health Interview Survey by the National Health Service, more than half of the places where elderly people fell most recently were in their own homes, with living rooms, bedrooms, bathrooms, and toilets being the most common places. Outside of one's own home, the main places to visit are roads, vegetable gardens, farmland, parks and sports grounds. The average hospitalization cost for an elderly person who falls is 90,000 to 130,000 yuan.
Doctors should pay attention to the three steps to prevent falls: exercise regularly and take medications
Hong Qiyao, a rehabilitation physician at Annan Hospital, added that strength exercises to prevent falls can start from the safer method of lying down and raising the buttocks. Start with lying on your back, raising your legs, raising your feet in a sitting position, and stepping in a sitting position. Then, with stretching and stretching of large joints, gradually move to balance exercises such as shifting the center of gravity of the heels and toes, and walking on the heels. Tai Chi has also been proven to be an exercise that can prevent falls.
Cheng Zhengxin made suggestions based on the National Health Administration's "Trilogy of Fall Prevention", including training muscle strength and balance, following the doctor's advice on medication, regularly checking home safety and anti-skid, paying attention to reflective signs when going out, and not walking on the road. Wait. In terms of regular exercise and taking medication as prescribed by the doctor, the older the elderly, the more they need to move in order to enhance the muscle strength of the lower limbs and the body's flexibility and balance.
In addition, if people taking multiple medications experience dizziness, weakened muscles, and unsteady steps, they can discuss with their doctor to adjust their medication to reduce the risk of falls. In the home environment, in addition to moderate lighting and keeping clear of obstacles on daily routes, the elderly’s bedrooms can consider using wooden floors or laying anti-fall cushions. The bathrooms should not only be anti-slip, but also should be equipped with handrails and placed in appropriate places. Place non-slip and water-proof chairs for the elders to use at any time.
If an elder unfortunately falls and hits his head, he or she should seek medical attention.
If an elder falls and hits his head, he or she should seek medical attention regardless of the severity. Cheng Zhengxin reminded that minor head trauma requires continued observation and drug treatment, but severe head trauma or obvious neurological deficits require a brain computed tomography examination to determine whether there is brain damage. If the amount of bleeding is small and the contusion is not severe, drug treatment and observation are the main options. If the amount of bleeding is large and life-threatening, surgery may be required. Join and pay attention to your health every day! LINE＠ ID: @ Subscribe to the Healthy Love Live audio and video channel and read health knowledge more easily: /beauty/article/42007 Keywords: falls, acute subdural hemorrhage, brain computed tomography, Annan Hospital, Cheng Zhengxin, neurosurgery< /p>