Assessment of Impact of Medication Use and Dementia on Fall Risk in Clients Receiving Home Health Care

Abstract

The objective of this article was to investigate relationships among medication, dementia, and falls in community-dwelling elders with polypharmacy receiving home health care services from a senior services agency. As regards method, medical information on medication, dementia, and falls was obtained from clinical records of 147 clients. Chi-square tests were used to compare psychotropic drug use between elders with and without dementia. Logistic regression was performed to test the hypothesis that psychotropic drugs and dementia predicted falls in this population. Results reveal that this population had high rates of psychotropic drug use (61%), dementia (38%), and falls (37%). No significant differences were found in psychotropic drug use between elders with and without dementia. Neither psychotropic drugs nor dementia predicted falls. Conclusions show that in this population, no relationship was found between dementia, psychotropic drugs, and falls.