What is a Falls Risk Assessment Tool ?

Falls Risk Assessment Tools must be used with all patients over the age of 65 years, those who are at a high risk of falling over, and any patients who have had one or more falls in the previous 12 months.




Patients who have had a recent fall are automatically assessed as being at high risk.                                                                                                                                                                                                                                                                                                                                              


The Falls Risk Assessment Tool checks several risk factors including:

 

  • Vision - to check whether patients are able to see clearly, especially at night.
  • Mobility - to check whether patients are able to move around safely, whether they need to use walking aids, such as walking sticks or walking frames, and whether they wear safe shoes or slippers.
  • Transfers - whether patients can balance well and move from the bed to a chair safely.
  • Behaviours - whether patients are confused or unable to follow instructions.
  • ADLs - the actions that are necessary for people to manage their personal care, e.g. getting dressed, washing themselves and going to the toilet.
  • Environment - the area around patients which may cause difficulties, e.g. a cluttered area around the bed, or no bathroom light on at night.
  • Nutrition - whether patients are well-nourished or underweight and frail.
  • Continence - whether patients have difficulties going to the toilet, e.g. nocturia (needing to pass urine at night) or a feeling of needing to pass urine without waiting.
Download
Tools inside the document
tools.pdf
Documento Adobe Acrobat 1.4 MB

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