Clinical Practice Guidelines

Individualized Fall Prevention Interventions - HIGH RISK PATIENT

Key Recommendations

Fall risk screening identifies older adults at increased risk of falls who may need a more detailed multifactorial fall risk assessment and intervention, which can in turn help to prevent falls and fall-related injury.

 

Falls screening tools are sensitive, brief, and easy to complete assessments that attempt to identify individuals at a higher than average risk for falling who would likely benefit from a more in-depth evaluation.

Results can be numerical with a cut-off score or categorical where those tested are ranked as being at LOW, MEDIUM, and HIGH RISK.

While screening tools have been used to predict a general level of risk for falling, they do not accurately predict which people will actually fall or give much information about what can be done to decrease the risk of falling.

Individualized Interventions 

HIGH RISK

  • Develop an individualized care plan

  • Provide relevant fall prevention information and handouts

  • Recommend calcium rich foods and daily​ vitamin D supplement +/- calcium, if there is a deficiency

  • Optimize the treatment of all identified comorbidities

  • Minimize medications according to deprescribing guidelines,     as appropriate

  • Manage and monitor hypotention

  • Optimize vision

  • Manage foot and footwear problems

  • Optimize home safety

    • Recommend the completion of the Home Safety Checklist

    • Consider a referral to occupational therapy ​to help address safety concerns

AND

Refer to physical therapist to enhance functional mobility and improve gait, strength and balance

OR

Refer the patient to a community exercise-based fall prevention program

NOTE: In addition to the results of the multifactorial fall risk assessment, your clinical judgement should also take into account the older patient's ability or readiness to address their risk factors, their preferences and the availability of social support such as family and friends for the development of an individualized care plan.

Addressing Home Hazards

Interested in taking steps to help maintain your independence? Want to be more physically active and reduce your risk of falling? Click here to find out how!

Physical Activity

 

Want to be more physically active and reduce your risk of falling? Join a Zoomers class today! Click here to find out how!

Next Step:

Complete a FOLLOW UP of individualized interventions with the older patient within 30 to 90 days of their last visit.

Resources

 

  • Algorithm for Fall Risk Screening, Assessment and Intervention
    • Developed by NB Trauma​

  • Fall Risk Factors Checklist

    • Developed by NB Trauma​

MEDICAL DISCLAIMER

The information contained on this website is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your primary care provider or a qualified healthcare professional with any questions you may have regarding any medical condition, or before beginning any exercise program.

Toll-Free Seniors Information Line 

 

The toll-free Seniors Information Line provides a traditional method of speaking with a bilingual, customer-service oriented telephone agent. For basic information about provincial programs and services for older adults, their family and caregivers please contact:

1-855-550-0552

Tele-Care 

 

If you or someone you know requires non-urgent health advice or information, call Tele-Care. A registered nurse will assess your needs and provide information, education and/or advice as required. For access to this confidential and bilingual toll-free telephone service, 24 hours a day, seven days a week please dial:

8-1-1

For medical emergencies, call  911  immediately or visit your local emergency department.

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