Clinical Practice Guidelines

Conducting a Multifactorial Fall Risk Assessment

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.

Conducting a multifactorial  fall risk assessment

  • Review the Staying Independent brochure with the patient

  • Obtain a complete history of falls

  • Identify all comorbidities such as:

    • Depression​

    • Cognitive impairment

    • Osteoporosis / Vitamin intake

  • Complete a medication review

  • Physical examination including:

    • Postural dizziness / postural hypotension​

    • Feet and footwear check

    • Use of assistive devices

    • Visual acuity assessment

  • Ask about potential hazards found in and around the home​

  • Ask about potential use of alcohol and/or other substances 

History of Falls

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!

Identifying Comorbidities

 

Want to be more physically active and reduce your risk of falling? Click here to find out how!

Medication Review

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 Examination

 

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

Home Hazard Assessment

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!

Additional Fall Risk Factors

 

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:

After completing a Multifactoriral Fall Risk Assessment, proceed with the development of an individualized care plan outlining all recommended interventions for the older patient at HIGH RISK for falls.

Resources

 

  • Algorithm for Fall Risk Screening, Assessment and Intervention

  • Staying Independent - Self Screening Tool

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 Senior Line 

 

The toll-free Seniors Information Line provides  a traditional method of speaking with a bilingual, customer-service oriented telephone agent. For basic information on government programs and services for seniors, their families 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, immediately call  911  or visit your local emergency department.

FINDING BALANCE NB © 2016 - FINDING BALANCE CANADA, IN PARTNERSHIP WITH NB TRAUMA PROGRAM | UNDER LICENSE FROM THE INJURY PREVENTION CENTER.