/Users/andrea/_magisterarbeit/korpus/clean/testkorpus/24/file_190h.html NN ----------------------------------------- : Prevent VV osteoporosis NN and CC falls VVZ to TO reduce VV hip NN fracture NN risk NN Each DT year NN , , hip NN fractures NNS land NN 350 CD , , 000 CD people NNS in IN the DT hospital NN and CC 60 CD , , 000 CD in IN nursing NN homes NNS , , according VVG to TO the DT American NP Academy NP of IN Orthopaedic JJ Surgeons NNS . SENT And CC the DT prognosis NN is VBZ bleak JJ for IN hip NN fracture NN patients NNS . SENT About IN 20 CD percent NN die NN within IN a DT year NN of IN complications NNS related VVN to TO the DT injury NN and CC the DT recovery NN period NN . SENT Most JJS who WP previously RB lived VVD independently RB will MD require VV assistance NN from IN family NN members NNS or CC home NN care NN professionals NNS . SENT Forty NN percent NN of IN those DT 65 CD and CC older JJR are VBP discharged VVN from IN hospitals NNS to TO long JJ term NN care NN facilities NNS . SENT Be VB on IN the DT lookout NN The DT best JJS course NN of IN action NN a DT family NN physician NN can MD take VV is VBZ to TO help VV patients NNS prevent VV osteoporosis NN and CC reduce VV their PP$ risk NN of IN falling VVG , , says VVZ James NP Mold NP , , M NP . SENT D SYM . SENT , , professor NN of IN family NN and CC preventive JJ medicine NN and CC adjunct JJ professor NN of IN geriatric JJ medicine NN at IN the DT University NP of IN Oklahoma NP Health NP Sciences NPS Center NP in IN Oklahoma NP City NP . SENT Family NN physicians NNS need VVP to TO think VV about IN osteoporosis NN as IN early JJ as IN possible JJ and CC throughout IN a DT person's JJ whole JJ life NN , , Mold NP says VVZ , , offering VVG these DT suggestions NNS . SENT Hound NN teens NNS to TO get VV plenty NN of IN calcium NN to TO ensure VV they PP build VV as IN much JJ bone NN mass NN as IN possible JJ . SENT Make VV sure JJ elderly JJ patients NNS get VVP enough JJ vitamin NN D NP . SENT many JJ don't JJ drink NN milk NN , , and CC their PP$ skin NN no RB longer RB produces VVZ vitamin NN D NP in IN the DT necessary JJ quantities NNS . SENT Counsel NN all DT patients NNS against IN smoking NN , , excessive JJ consumption NN of IN alcohol NN and CC a DT sedentary JJ lifestyle NN . SENT James NP Mold NP , , M NP . SENT D SYM . SENT . SENT Family NN physicians NNS need VVP to TO think VV about IN osteoporosis NN as IN early JJ as IN possible JJ and CC throughout IN a DT person's JJ whole JJ life NN . SENT Also RB , , think VVP about IN medicines NNS and CC how WRB they PP might MD cause VV problems NNS with IN regard NN to TO bone NN mass NN , , says VVZ Mold NP . SENT For IN example NN , , cortico NN steroids NNS , , loop NN diuretics NNS and CC anti JJ seizure NN medications NNS leach VV calcium NN out RP of IN the DT bones NNS , , whereas IN patients NNS taking VVG chlorothiazide NN for IN years NNS actually RB increase VV their PP$ bone NN mass NN . SENT Identifying VVG patients NNS at IN risk NN of IN falling VVG can MD prevent VV future JJ disability NN . SENT For IN us PP to TO maintain VV our PP$ proper JJ balance NN and CC posture NN , , a DT number NN of IN different JJ systems NNS must MD function VV well RB , , says VVZ Mold NP . SENT You PP have VHP to TO be VB able JJ to TO tell VV where WRB you PP are VBP in IN space NN , , which WDT depends VVZ upon IN senses NNS in IN your PP$ feet NNS , , your PP$ vision NN and CC your PP$ inner JJ ear NN . SENT You PP also RB need VVP muscle NN strength NN and CC reaction NN speed NN . SENT All DT of IN us PP start VVP to TO fall VV periodically RB , , but CC we PP catch VVP ourselves PP . SENT People NNS between IN 65 CD and CC 74 CD years NNS of IN age NN are VBP often RB still RB able JJ to TO react VV quickly RB enough JJ to TO catch VV themselves PP with IN an DT outstretched VVN hand NN and CC are VBP , , therefore RB , , more RBR likely JJ to TO break VV their PP$ wrist NN . SENT Those DT 75 CD and CC older JJR are VBP more RBR likely JJ to TO land VV squarely RB on IN the DT ground NN and CC break VV a DT hip NN . SENT Conditions NNS beyond IN frailty NN Specific JJ medical JJ conditions NNS also RB put VVP patients NNS at IN a DT high JJ risk NN of IN falling VVG . SENT These DT include VVP Alzheimer's NP disease NN , , which WDT affects VVZ visual JJ spatial JJ orientation NN . SENT Parkinson's JJ disease NN , , which WDT causes VVZ postural JJ instability NN . SENT stroke NN . SENT and CC peripheral JJ neuropathy NN . SENT Diabetes NN in IN the DT absence NN of IN neuropathy NN is VBZ not RB a DT strong JJ risk NN factor NN for IN falling VVG , , says VVZ Mold NP . SENT Certain JJ medications NNS , , including VVG neuroleptic JJ antipsychotic JJ drugs NNS and CC benzodiazepines NNS anti JJ anxiety NN drugs NNS , , can MD increase VV a DT patient's JJ risk NN of IN falling VVG by IN slowing VVG reaction NN speed NN . SENT Similarly RB , , alcohol NN use NN is VBZ a DT risk NN factor NN , , Mold NP points VVZ out RP . SENT Ten CD percent NN of IN falls NNS at IN home NN may MD be VB related VVN to TO drinking VVG alcohol NN , , he PP says VVZ . SENT Although IN alcoholism NN is VBZ not RB that DT common NN in IN the DT elderly JJ , , even RB one CD drink NN of IN alcohol NN reduces VVZ your PP$ reaction NN speed NN , , and CC its PP$ effect NN can MD last VV for IN six CD or CC eight CD hours NNS in IN an DT older JJR person NN . SENT Genetic JJ factors NNS come VVN into IN play NN for IN both DT osteoporosis NN and CC falls VVZ . SENT Patients NNS have VHP an DT increased JJ risk NN of IN falling VVG and CC breaking VVG bones NNS if IN they PP have VHP relatives NNS who WP have VHP done VVN the DT same JJ , , says VVZ Mold NP . SENT At IN risk NN . SENT Already RB down RB . SENT Once RB you PP determine VVP that IN a DT patient NN is VBZ at IN risk NN of IN falling VVG , , what WP should MD you PP do VVP . SENT List VV all PDT the DT risk NN factors VVZ the DT person NN has VHZ and CC try VV to TO address VV as RB many JJ as IN possible JJ , , Mold NP says VVZ . SENT It PP has VHZ to TO be VB an DT individualized VVN , , multipronged VVN approach NN . SENT He PP also RB suggests VVZ getting VVG patients NNS into IN a DT Tai NP Chi NP class NN . SENT A DT major JJ study NN on IN fall NN prevention NN found VVN that IN Tai NP Chi NP an DT exercise NN combining VVG muscle NN strengthening VVG with IN balance NN training NN reduced VVD the DT risk NN of IN falling VVG by IN between IN 30 CD percent NN and CC 40 CD percent NN . SENT Bone NN density NN testing NN in IN high JJ risk NN patients NNS is VBZ warranted VVN . SENT And CC a DT new JJ approach NN to TO fracture NN prevention NN is VBZ the DT use NN of IN hockey NN hip NN pads VVZ on IN nursing VVG home NN patients NNS to TO protect VV their PP$ hips NNS if IN they PP do VVP fall NN , , he PP says VVZ . SENT If IN , , despite IN your PP$ efforts NNS , , a DT patient NN takes VVZ a DT spill NN , , don't VVD disregard VV it PP . SENT Falls NP can MD be VB a DT clue NN to TO the DT onset NN of IN something NN new JJ , , like IN the DT first JJ symptom NN of IN an DT infection NN or CC a DT new JJ illness NN that IN hasn't NNS been VBN diagnosed VVN yet RB , , Mold NP says VVZ . SENT Physicians NNS must MD explore VV the DT reason NN for IN the DT fall NN as RB thoroughly RB as IN they PP address VVP the DT injuries NNS that IN result NN . SENT In IN a DT younger JJR person NN , , we PP tend VVP to TO address VV the DT injury NN and CC say VVP , , Don't NP let VVD it PP happen VV again RB , , he PP says VVZ . SENT With IN an DT elderly JJ person NN , , you PP have VHP to TO think VV about RB why WRB the DT fall NN occurred VVD . SENT A DT shipping NN fee NN may MD apply VV . SENT Kansas NP residents NNS pay VVP a DT 7 CD percent NN tax NN . SENT FP NP Report NP is VBZ published VVN by IN the DT AAFP NP News NP Department NP . SENT Copyright NN 2001 CD by IN American NP Academy NP of IN Family NP Physicians NPS . SENT FP NP Report NP Headlines NNS AAFP NP Home NP Search NP