Clinical Practice Guidelines
Individualized Fall Prevention Interventions - HIGH RISK PATIENT
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.
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
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
Refer to physical therapist to enhance functional mobility and improve gait, strength and balance
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.