Falls in older people practice

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Geriatrics and Palliative Carecommon

An 82-year-old woman is assessed after falling in her kitchen. She remembers reaching for a shelf but denies spinning, loss of consciousness, palpitations or limb jerking; she takes indapamide and tamsulosin. Supine blood pressure is 138/74 mmHg with a pulse of 76/min, and after standing for two minutes it is 108/66 mmHg with a pulse of 77/min. Which one of the following is the most likely explanation?