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Falls Prevention
- Environmental (Extrinsic) Evaluation of Risk Factors
- Modifiable: Clutter in walkways, no stair railings or grab bars, loose rugs, dim lighting, wet floor, floor glare, monochromatic color schemes, loose cords or wires, low toilet seat, wheels on furniture, broken equipment, beds in high position.
- Non Modifiable: Cold temperatures, uneven pavement, poor public space designs
- Fall Prevention Home Safety Checklistwww.minnesotasafetycouncil.org/SeniorSafe
- Check for Safety: A Home Fall Prevention Checklist for Older Adults www.cdc.gov/ncipc/duip/preventadultfalls.htm
- Individual (Intrinsic) Risk Factors Identification
- Modifiable: Muscle weakness, gait and balance problem, vision problems, psychoactive medications, prior falls, assistive device use, incontinence, dizziness/vertigo, postural hypotension.
- Non Modifiable: Older age, female, chronic diseases, mentally impaired, seizures, cardiac arrhythmias, CVA or TIA, Syncope and "drop attacks"
- Assessment
- Upon contact: Have you fallen in the past year? How many times have you fallen in the past year: Are you afraid of falling?
- Assess for Pain
- Assess for Mental Status
- Assess for Strength
- Assess for Balance
www.therapyceu.com/RCEU
Berg Balance Scale www.strokecenter.org
Activities-specific Balance Confidence(ABC)Scale
Tinetti Assessment Tool
- Assess Gait
Dynamic Gait Index
Tinetti Assessment Tool
- Assess for Fall Risk
Morse Fall Scale
Tinetti Performance Oriented Mobility Assessment (POMA)
- Nutrition
- Footwear
www.temple.edu/older_adult/appendixB.htm
- Medication Regimen Review
http://uncnews.unc.edu
- Continence
- Brochures and posters downloadable suitable for staff, families and clients
www.cdc.gov/ncipc/duip/preventadultfalls.htm
- Hourly Rounding Practice Model
- Don't leave a high risk person unsupervised
- Education
- Equipment to Reduce Injury (to be developed)
Back to Falls Main Page
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