Prise en charge d’une chute chez les personnes âgées de plus de 75 ans en zone rurale par les médecins généralistes des Landes

Abstract : Background : one third of 65-years old and over senior, living at home, falls in the year. This frequent event, with serious and avoidable consequences, is a real public health problem. It has been the subject of recommendations of good practices in 2009 in France. Aim: the main objective of our study was to evaluate the impediments to the adapted management of falls in persons aged 75 years and over, in rural areas in the Landes by general practitioners. Methods : this work, based on an observational cohort analytical study, was conducted between december 2015 and july 2016, on 91 patient, 75-years old and over, living at home. Results : 40.6% of surveyed seniors acknowledged that they had already fallen during the year. The main obstacle found was the absence of alert : 59.4% did not alert anyone and 13.5% alerted their doctor. The lack of post-fall assessment is also a brake : only 5.4% have benefited. The relative ignorance of the recommendations by the general practitioners and the lack of time are the principal limits to the management of a fall in the elderly. Conclusion: the improvement of medical training and the development of formalized care networks need to be strengthened. Primary prevention should be promoted.
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Master Thesis
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Submitted on : Tuesday, February 21, 2017 - 5:21:58 PM
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Alix Boitte. Prise en charge d’une chute chez les personnes âgées de plus de 75 ans en zone rurale par les médecins généralistes des Landes. Médecine humaine et pathologie. 2017. ⟨dumas-01473371⟩

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