TREATMENT OF BALANCE PROBLEMS
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The initial assessment
will involve the completion of questionnaires, discussion and
physical testing within the Patient's current abilities. Any testing
will be appropriate to the Patient's present medical and physical
status. Suitable clothing should be worn and it may be necessary for
some clothing to be removed at certain stages of the assessment. It
may also be necessary for the Therapist to palpate (touch) and move
the Patient's limbs during the assessment process. At any stage of
the assessment or treatment process, the Patient can decide whether
they want the process to continue or be stopped if they are
uncomfortable or in pain
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Treatment This depends on what problems
have been found during the initial assessment. It may incorporate
many different elements of some of the following programmes:
● strengthening
● flexibility
● range of movement
● balance
● movement retraining
● gait
● social activities / hobbies |
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The most important factor is that the
Patient is safe and confident to do any exercises prescribed by the
Therapist, especially when exercising alone. The exercise regime is
a progressive regime which aims to constantly lead the Patient
forward until they are safe and confident in their own abilities and
environment. |
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NICE
GUIDELINES |
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Full
guideline
The full guideline,
‘The assessment and prevention of falls in older people’, is
published by the National Collaborating Centre for Nursing and
Supportive Care, The Royal College of Nursing Institute. It is
available on its website (www.rcn.org.uk),
the NICE website (www.nice.org.uk)
and on the website of the National Electronic
Library for Health (www.nelh.nhs.uk).
Information for the public
A version of this guideline for people at risk of falling, their
advocates and carers, and for the public is available from the NICE
website (www.nice.org.uk/CG021publicinfo)
or from the NHS Response Line (0870 1555 455); quote reference
number N0761 for an English version and N0762 for an English and
Welsh version). This is a good starting point for explaining to
patients the kind of care they can expect. |
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