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