Until the 1940s, falls and fall-related injuries were considered accidents, that is “acts of God,” random or chance events without observable or understandable explanations.1 Beginning with the early studies by Droller,2 Sheldon,3 and Fine,4 however, falls have increasingly been recognized first as predictable, then as preventable, health problems worthy of careful evaluation and preventive efforts. As evidenced by the association with other functional problems such as incontinence, and by a high mortality rate not due to injury, falling is an important clinical marker of frailty. Because of its resulting morbidity, however, falling is also an important health problem in its own right among frail, as well as healthier, older persons.


Nursing Home Elderly Person Nursing Home Resident Physical Restraint Gait Disorder 
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© Springer Science+Business Media New York 1997

Authors and Affiliations

  • Mary E. Tinetti

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