Difference between revisions of "Fall Risk"

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Line 24: Line 24:
 
|align="center"|Yes (1)
 
|align="center"|Yes (1)
 
|align="center"|No (0)
 
|align="center"|No (0)
|align="center"|3
+
|align="left"|Unsteadiness or needing support while walking are signs of poor balance.
 
|-
 
|-
 
|style="background-color: #FFCCCC" align="left"|[[FH Fall Risk FR-4|4. I steady myself by holding onto furniture when walking at home]]
 
|style="background-color: #FFCCCC" align="left"|[[FH Fall Risk FR-4|4. I steady myself by holding onto furniture when walking at home]]
 
|align="center"|Yes (1)
 
|align="center"|Yes (1)
 
|align="center"|No (0)
 
|align="center"|No (0)
|align="center"|3
+
|align="left"|This is also a sign of poor balance
 
|-
 
|-
 
|style="background-color: #FFCCCC" align="left"|[[FH Fall Risk FR-5|5. I am worried about falling]]
 
|style="background-color: #FFCCCC" align="left"|[[FH Fall Risk FR-5|5. I am worried about falling]]
 
|align="center"|Yes (1)
 
|align="center"|Yes (1)
 
|align="center"|No (0)
 
|align="center"|No (0)
|align="center"|3
+
|align="left"|People who are worried about falling are more likely to fall.
 
|-
 
|-
  
Line 40: Line 40:
 
|align="center"|Yes (1)
 
|align="center"|Yes (1)
 
|align="center"|No (0)
 
|align="center"|No (0)
|align="center"|3
+
|align="left"|3
 
|-
 
|-
 
|style="background-color: #FFCCCC" align="left"|[[FH Fall Risk FR-7|7. I have trouble stepping up onto a curb]]
 
|style="background-color: #FFCCCC" align="left"|[[FH Fall Risk FR-7|7. I have trouble stepping up onto a curb]]
 
|align="center"|Yes (1)
 
|align="center"|Yes (1)
 
|align="center"|No (0)
 
|align="center"|No (0)
|align="center"|3
+
|align="left"|3
 
|-
 
|-
 
|style="background-color: #FFCCCC" align="left"|[[FH Fall Risk FR-8|8. I often have to rush to the toilet]]  
 
|style="background-color: #FFCCCC" align="left"|[[FH Fall Risk FR-8|8. I often have to rush to the toilet]]  
 
|align="center"|Yes (1)
 
|align="center"|Yes (1)
 
|align="center"|No (0)
 
|align="center"|No (0)
|align="center"|3
+
|align="left"|3
 
|-
 
|-
 
|style="background-color: #FFCCCC" align="left"|[[FH Fall Risk FR-9|9. I have lost some feeling in my feet]]
 
|style="background-color: #FFCCCC" align="left"|[[FH Fall Risk FR-9|9. I have lost some feeling in my feet]]
 
|align="center"|Yes (1)
 
|align="center"|Yes (1)
 
|align="center"|No (0)
 
|align="center"|No (0)
|align="center"|3
+
|align="left"|3
 
|-
 
|-
 
|style="background-color: #FFCCCC" align="left"|[[FH Fall Risk FR-9|10. I take medicine that sometimes makes me feel light-headed or more tired than usual]]
 
|style="background-color: #FFCCCC" align="left"|[[FH Fall Risk FR-9|10. I take medicine that sometimes makes me feel light-headed or more tired than usual]]
 
|align="center"|Yes (1)
 
|align="center"|Yes (1)
 
|align="center"|No (0)
 
|align="center"|No (0)
|align="center"|3
+
|align="left"|3
 
|-
 
|-
 
|style="background-color: #FFCCCC" align="left"|[[FH Fall Risk FR-9|11. I take medicine to help me sleep or improve my mood]]
 
|style="background-color: #FFCCCC" align="left"|[[FH Fall Risk FR-9|11. I take medicine to help me sleep or improve my mood]]
 
|align="center"|Yes (1)
 
|align="center"|Yes (1)
 
|align="center"|No (0)
 
|align="center"|No (0)
|align="center"|3
+
|align="left"|3
 
|-
 
|-
 
|style="background-color: #FFCCCC" align="left"|[[FH Fall Risk FR-9|12. I often feel sad or depressed]]
 
|style="background-color: #FFCCCC" align="left"|[[FH Fall Risk FR-9|12. I often feel sad or depressed]]
 
|align="center"|Yes (1)
 
|align="center"|Yes (1)
 
|align="center"|No (0)
 
|align="center"|No (0)
|align="center"|3
+
|align="left"|3
 
|-
 
|-
 
|style="background-color: #FFCCCC" align="right"|
 
|style="background-color: #FFCCCC" align="right"|

Revision as of 09:35, 8 June 2015

This is a Fall Risk Questionnaire to determine the risk for falls. With a score 4 points or higher, there may be a risk for falling.

Return to the CDC Health Risk Assessments or Patient Well-Being Assessment

Why it matters
1. I have fallen in the last 12 months Yes (2) No (0) People who have fallen once are likely to fall again
2. I use or have been advised to use a cane or walker to get around safely Yes (2) No (0) People who have been advised to use a cane or walker may already be likely to fall
3. Sometimes I feel unsteady when I am walking Yes (1) No (0) Unsteadiness or needing support while walking are signs of poor balance.
4. I steady myself by holding onto furniture when walking at home Yes (1) No (0) This is also a sign of poor balance
5. I am worried about falling Yes (1) No (0) People who are worried about falling are more likely to fall.
6. I need to push with my hands to stand up from a chair Yes (1) No (0) 3
7. I have trouble stepping up onto a curb Yes (1) No (0) 3
8. I often have to rush to the toilet Yes (1) No (0) 3
9. I have lost some feeling in my feet Yes (1) No (0) 3
10. I take medicine that sometimes makes me feel light-headed or more tired than usual Yes (1) No (0) 3
11. I take medicine to help me sleep or improve my mood Yes (1) No (0) 3
12. I often feel sad or depressed Yes (1) No (0) 3
_____
Add up the number of points for each "yes" answer. If the score is 4 or more, there may be a risk for falling. (Total Score)


Interpreting Scores