Conclusion
This guideline recommends that a risk assessment of falling in the elderly should be routinely performed. It outlines some prevention strategies including exercise programmes, such as tai chi, which may help to lower the risk of falls. The guideline also outlines other practical measures, supported by evidence, which can help to reduce the risk of falls. These include maintaining and providing treatments for good foot and heart health, wearing appropriate shoes and making sure elderly people have sufficient vitamin D for bone health and strength.
As a joint American and British publication, this guideline will carry some weight among professionals involved in the care of the elderly in both countries. In terms of implementation, the overall cost of tai chi programmes and how they could be efficiently supplied to large numbers of elderly people will need to be considered.
Elderly people who are unused to exercise should consult with their doctor about appropriate exercise programmes for them to start with.