Future directions

Abstract

Falling is part of human life. It is unlikely that medical science can completely prevent humans from falling. However, we can manage risk better and minimize the consequences of falls. The Haddon matrix is a framework used in the injury prevention field and has been adapted to help researchers to systematically assess events and identify methods of fall prevention. The use of medications with strong anticholinergic activity has been associated with impaired cognitive and physical functioning in older patients and possibly increase fall risk. Patient sitters have been used as a substitute for chemical or physical restraints for agitated hospitalized patients. A study showed that the use of antipsychotics and drugs with high anticholinergic activity was associated with sitter use. Therefore, modifying the use of these drugs can impact on patient safety, use of sitters, and hospital costs. Some predictions for the future include personalized medications, applications for wearable technology, and altering ourselves through the convergence of genomics, nanotechnology, and robotics that can eventually "fix" our own DNA. Improved interoperability between computer systems can enable innovation and patient- centered care and support a learning health-care system. Leveraging social media can help spread the knowledge about fall risk-increasing drugs. Leading countries and academic organizations have to continue to spread the message that medicationrelated falls in older people are important to recognize and manage. Each time our decisions and actions can help avoid an adverse event, we have succeeded in improving the care given to an individual person. After all, wouldn’t each of us want this kind of sophisticated, safe, appropriate care for ourselves and our loved ones?