Cerebro - Suelo: Estrategias para Prevenir Caídas en Adultos Mayores con Enfermedades Neurológicas, Rol de Enfermería

Palabras clave: prevención de caídas, adulto mayor, enfermedades neurológicas, personal de enfermería, ejercicio terapéutico

Resumen

Las caídas en los adultos mayores representan un problema de salud pública global, siendo la principal causa de morbilidad y discapacidad física. La presencia de enfermedades neurológicas, como la enfermedad de Parkinson, el ictus, la epilepsia y demencia, incrementa exponencialmente este riesgo debido a la alteración del control motor y cognitivo, desafiando la capacidad de respuesta de los sistemas sanitarios, por lo tanto el Objetivo es Analizar la evidencia científica actual sobre las estrategias para la prevención de caídas en los adultos mayores con patologías neurológicas, destacando el rol fundamental del personal de enfermería en la detección de riesgos y ejecución de cuidados, donde se utilizó la siguiente Metodología realizando una revisión bibliográfica descriptiva, aquí se analizaron 30 artículos científicos, dando como resultados que las intervenciones aisladas son insuficientes; el abordaje multifactorial que combina ejercicio multimodal (fuerza - equilibrio), adaptación del entorno y revisión farmacológica es el más eficaz, por lo tanto el personal de enfermería es determinante en la vigilancia continua, la educación sobre el "miedo a caer" y la implementación de tecnologías de monitoreo, obteniendo así las siguiente conclusión la prevención exige un enfoque proactivo y personalizado. donde la integración del personal de enfermería en el equipo multidisciplinario es una estrategia insustituible para garantizar la seguridad del paciente y reducir la incidencia de eventos adversos.

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Citas

Appeadu, M. K., & Bordoni, B. (2023). Falls and fall prevention in older adults. En StatPearls [Internet]. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK560761/

Bajraktari, S., et al. (2022). Reaching older people with a digital fall prevention intervention in a Swedish municipality context—An observational study. Frontiers in Public Health, 10, 857652. https://doi.org/10.3389/fpubh.2022.857652

Brunicardi, F. C., et al. (2025). Falls & gait disorders in older adults. En Current medical diagnosis & treatment 2025. McGraw-Hill. https://accessmedicine.mhmedical.com/content.aspx?bookid=3516

Cameron, I. D., et al. (2018). Interventions for preventing falls in older people in care facilities and hospitals. Cochrane Database of Systematic Reviews, 9(9), CD005465. https://doi.org/10.1002/14651858.CD005465.pub4

Centers for Disease Control and Prevention. (2024). About older adult fall prevention. https://www.cdc.gov/falls/about/index.html

Clemson, L., et al. (2023). Environmental interventions for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews, 3(3), CD013258. https://doi.org/10.1002/14651858.CD013258.pub2

Feng, F., et al. (2023). Exercise for prevention of falls and fall-related injuries in older people: A systematic review and meta-analysis. BMC Geriatrics, 23, 661. https://doi.org/10.1186/s12877-023-04285-w

Gillespie, L. D., et al. (2012). Interventions for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews, (9), CD007146. https://doi.org/10.1002/14651858.CD007146.pub3

Haddad, Y. K., et al. (2024). Healthcare spending for non-fatal falls among older adults, USA. Injury Prevention, 30, 175–181. https://doi.org/10.1136/ip-2023-045151

Health Service Executive. (2024). Falls prevention framework: Community services guidelines. HSE National Clinical Programme for Older People. https://www.hse.ie/eng/services/publications/falls-prevention-framework.pdf

Hopewell, S., et al. (2019). Multifactorial interventions for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews, (7), CD013258. https://doi.org/10.1002/14651858.CD013258

InfoResCom. (2025). Falling forward: Tracing technological solutions for fall prevention in older adults (1996–2024). Information Research Communications. https://inforescom.org/article/3427

Liu, Y., et al. (2014). Neuropsychological mechanisms of falls in older adults. Frontiers in Aging Neuroscience, 6, 64. https://doi.org/10.3389/fnagi.2014.00064

Meulenbroeks, I., et al. (2024). Effectiveness of fall prevention interventions in residential aged care: Umbrella review. BMJ Open, 14, e074360. https://doi.org/10.1136/bmjopen-2023-074360

Melillo, P., et al. (2022). Falls among older adults: Screening, identification, rehabilitation, and management. Applied Sciences, 12(15), 7934. https://doi.org/10.3390/app12157934

Montero-Odasso, M., et al. (2022). World guidelines for falls prevention and management for older adults: A global initiative. Age and Ageing, 51(9), afac205. https://academic.oup.com/ageing/article/51/9/afac205/6730755

Nordin, N., et al. (2024). Digital technologies to prevent falls in people living with dementia or mild cognitive impairment: A rapid systematic overview. Age and Ageing, 53(1), afad238. https://doi.org/10.1093/ageing/afad238

Pin, T. W., et al. (2024). Association between fear of falling and falls following acute and chronic stroke: A systematic review with meta-analysis. Journal of Rehabilitation Medicine, 56, jrm18650. https://doi.org/10.2340/jrm.v56.18650

Reis da Silva, C. (2023). Falls prevention in older people and the role of nursing. Nursing Standard, 38(1), 29–36. https://www.researchgate.net/publication/381999322

ResearchGate. (2025). AI-powered fall detection systems for at-risk populations. ResearchGate Preprints. https://www.researchgate.net/publication/393782365

Sherrington, C., et al. (2020). Evidence on physical activity and falls prevention for people aged over 65: Abridged Cochrane systematic review and meta-analysis. British Journal of Sports Medicine, 54(15), 885–891. https://doi.org/10.1136/bjsports-2019-101111

Schniepp, R., Huppert, A., Decker, J. et al. Predicción de caídas en trastornos neurológicos de la marcha: contribuciones diferenciales de la evaluación clínica, el análisis de la marcha y la monitorización de la movilidad en la vida diaria. J Neurol 268, 3421–3434 (2021). https://doi.org/10.1007/s00415-021-10504-x

Silva, R. B., et al. (2023). Nursing diagnoses and interventions for the prevention of falls in the elderly: A systematic review. Revista Brasileira de Enfermagem, 76(2), e20220185. https://doi.org/10.1590/0034-7167-2022-0185

Sun, R., & Sosnoff, J. J. (2022). Wearable sensor systems for fall risk assessment: A review. Frontiers in Digital Health, 4, 921506. https://doi.org/10.3389/fdgth.2022.921506

Suen, J. Y., et al. (2023). Critical components and implementation features of multifactorial fall prevention programmes in the community: A qualitative study. BMC Geriatrics, 23, 765. https://doi.org/10.1186/s12877-023-04473-8

Tan, L., He, R., & Zheng, X. (2024). Effect of vitamin D, calcium, or combined supplementation on fall prevention: A systematic review and updated network meta-analysis. BMC Geriatrics, 24, 390. https://doi.org/10.1186/s12877-024-04987-9

Utsumi, T., et al. (2024). The role of nurses for patients with Parkinson’s disease at home: A scoping review. Frontiers in Neurology, 15, 1385621. https://doi.org/10.3389/fneur.2024.1385621

World Health Organization. (2021). Falls: Key facts. https://www.who.int/news-room/fact-sheets/detail/falls

Xavier University. (2025). Fall risk interventions: The role of nurses in preventing falls. Xavier Nursing Blog. https://acceleratednursing.xavier.edu/blog/fall-risk-interventions/

Xing, L., et al. (2023). Falls caused by balance disorders in the elderly with multiple systems involved: Pathogenic mechanisms and treatment strategies. Frontiers in Neurology, 14, 1128092. https://doi.org/10.3389/fneur.2023.1128092

Publicado
2026-03-19
Cómo citar
Racines Castro , G. A., Chango Guangasi, D. S., & Gavilanes Fray, V. del P. (2026). Cerebro - Suelo: Estrategias para Prevenir Caídas en Adultos Mayores con Enfermedades Neurológicas, Rol de Enfermería. Ciencia Latina Revista Científica Multidisciplinar, 10(1), 8136-8150. https://doi.org/10.37811/cl_rcm.v10i1.22903
Sección
Ciencias de la Salud