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Page 14
Volume 2
allied
academies
June 11-13, 2018 | London, UK
Neurology and Neuroscience
6
th
International Conference on
F
alls are common among the elderly with dementia. It is
useful to explore factors which predispost to falls among
the elderly with dementia, in addition to the physiological
factors associated with ageing. The elderly with dementia
are more at risk for falls compared to their peers in view of
poor safety awareness, cognitive deficits, gait abnormalities,
medication use for BPSD, urinary incontinence, delirium etc.
Falls among the hospital inpatients is another major issue
faced by hospitals worldwide. falls which frequently lead to
immense feelings of guilt and blame among the hospital staff,
with threats of litigation once a fall occurs in the hospital. Falls
among the inpatients are frequently used as an indicator for
measures of patient safety. Is it possible to prevent falls in the
hospital? We present the possible causes of falls in a teaching
hospital in Singapore and review on possible interventions to
reduce in-patient falls. Also in the presentation is data from
the dementia ward in the same hospital. The dementia ward
is a niche service to provide care for the agitated and restless
elderly who would otherwise be restrained in the general
ward. The emphasis of dementia ward is non-pharmacological
management of behavioural symptoms in the setting of
dementia and delirium. Falls are frequently reported to be
much higher in a psycho geriatric facility. Can we provide
safe patient care without physical or chemical restraints?
Speaker Biography
Si Ching LIM is a senior Consultant Geriatrician at Changi General Hospital (CGH),
Singapore. She graduated from the Bristol University and completed her postgraduate
training in General Medicine in London. She was a Nephrologist before specializing in
Geriatric Medicine.She set up a department of Geriatric Medicine in Singapore General
Hospital and now heads the Dementia ward at CGH. Her interests include dementia
with BPSD, reducing the usage of restraints among the agitated elderly, nutrition and
medical education. She is on the teaching faculties with the NUS and Dukes-NUS. She is
also a visiting consultant in Ang Mo Kio Community Hospital in Singapore.Currently, she
collaborates with the Department of General Surgery on management of elderly post-
operative care, created a recipe book for elderly who eat poorly using oral nutritional
supplements.
e:
si_ching_lim@cgh.com.sgSi Ching LIM
National University of Singapore-Duke, Singapore
Dementia falls and interventions on fall prevention