Guidance
Key priorities for implementation
Key priorities for implementation
The following recommendations have been identified as priorities for implementation.
Preventing falls in older people
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Older people in contact with healthcare professionals should be asked routinely whether they have fallen in the past year and asked about the frequency, context and characteristics of the fall/s. [2004]
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Older people who present for medical attention because of a fall, or report recurrent falls in the past year, or demonstrate abnormalities of gait and/or balance should be offered a multifactorial falls risk assessment. This assessment should be performed by a healthcare professional with appropriate skills and experience, normally in the setting of a specialist falls service. This assessment should be part of an individualised, multifactorial intervention. [2004]
Preventing falls in older people during a hospital stay
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Regard the following groups of inpatients as being at risk of falling in hospital and manage their care according to recommendations 1.2.2.1 to 1.2.3.2:
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all patients aged 65 years or older
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patients aged 50 to 64 years who are judged by a clinician to be at higher risk of falling because of an underlying condition. [new 2013]
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For patients at risk of falling in hospital (see recommendation 1.2.1.2), consider a multifactorial assessment and a multifactorial intervention. [new 2013]
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Ensure that any multifactorial assessment identifies the patient's individual risk factors for falling in hospital that can be treated, improved or managed during their expected stay. These may include:
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cognitive impairment
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continence problems
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falls history, including causes and consequences (such as injury and fear of falling)
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footwear that is unsuitable or missing
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health problems that may increase their risk of falling
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medication
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postural instability, mobility problems and/or balance problems
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syncope syndrome
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visual impairment. [new 2013]
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