Orthostatic hypotension in the nursing home setting

J Am Med Dir Assoc. 2006 Mar;7(3):163-7. doi: 10.1016/j.jamda.2005.10.011. Epub 2006 Feb 7.

Abstract

Orthostatic hypotension is a common condition among nursing home (NH) residents. NH residents tend to have multiple disease processes and tend to be on multiple medications associated with orthostatic hypotension and are predisposed to a myriad of negative clinical consequences, most notably falls. This article discusses a commonsense approach to diagnosis, evaluation, and treatment of patients with this disorder, with an emphasis on nonpharmacological interventions, such as patient and staff education.

Publication types

  • Review

MeSH terms

  • Accidental Falls / prevention & control
  • Activities of Daily Living
  • Adrenergic alpha-Agonists / therapeutic use
  • Aged
  • Algorithms
  • Anti-Inflammatory Agents / therapeutic use
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Bandages
  • Blood Pressure Determination
  • Causality
  • Decision Trees
  • Fludrocortisone / therapeutic use
  • Geriatric Assessment
  • Geriatric Nursing
  • Geriatrics / methods*
  • Humans
  • Hypotension, Orthostatic / diagnosis*
  • Hypotension, Orthostatic / etiology
  • Hypotension, Orthostatic / physiopathology
  • Hypotension, Orthostatic / therapy*
  • Midodrine / therapeutic use
  • Nursing Assessment
  • Nursing Homes*
  • Patient Education as Topic
  • Posture
  • Vasoconstrictor Agents / therapeutic use

Substances

  • Adrenergic alpha-Agonists
  • Anti-Inflammatory Agents
  • Anti-Inflammatory Agents, Non-Steroidal
  • Vasoconstrictor Agents
  • Midodrine
  • Fludrocortisone