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Fall
Risk Assessment
The Veteran’s Affairs National Center for Patient
Safety Fall Prevention Management offers the following assessment to determine
risk for fallsviii. The more factors
present, the higher the risk of falls.
- Agitation/Delirium
- Infection, toxic/metabolic
- Cardiopulmonary chang
- CNS
- Dehydration
- Blood loss
- Sleep disturbance
- Orthostatic hypotension, autonomic failure
- Frequent toileting
- Impaired mobility
- Impaired vision
- Inappropriate use of assistive devices and footwear
- History of falls (CV/light headed-dizzy, Dysequilibrium
- loss of balance with no abnormal motion sensation, Vestibular/Vertigo,
Weakness-Musculoskeletal/give way, combination, other)
- Medications:
– Psychotropics
– CV agents (digoxin especially)
– Anticoagulants
– Anticholinergic00
– Psychotropics
– Digoxin
– type 1a antiarrhythmic
– diuretics
– Antihistamines/benzodiazipines
– Antidepressants
– Cardiac drugs/antihypertensives
– Anticoagulants
– Drugs treating nocturia
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