Difference between revisions of "Fall Risk"
From Patient Determinants
| Line 57: | Line 57: | ||
|align="left"|Numbness in your feet can cause stumbles and lead to falls | |align="left"|Numbness in your feet can cause stumbles and lead to falls | ||
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| − | |style="background-color: #FFCCCC" align="left"|[[FH Fall Risk FR- | + | |style="background-color: #FFCCCC" align="left"|[[FH Fall Risk FR-10|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="left"|Side effects from medicine can sometimes increase the chance of falling | |align="left"|Side effects from medicine can sometimes increase the chance of falling | ||
|- | |- | ||
| − | |style="background-color: #FFCCCC" align="left"|[[FH Fall Risk FR- | + | |style="background-color: #FFCCCC" align="left"|[[FH Fall Risk FR-11|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="left"|These medicines can sometimes increase the chance of falling. | |align="left"|These medicines can sometimes increase the chance of falling. | ||
|- | |- | ||
| − | |style="background-color: #FFCCCC" align="left"|[[FH Fall Risk FR- | + | |style="background-color: #FFCCCC" align="left"|[[FH Fall Risk FR-12|12. I often feel sad or depressed]] |
|align="center"|Yes (1) | |align="center"|Yes (1) | ||
|align="center"|No (0) | |align="center"|No (0) | ||
Revision as of 09:10, 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) | This is a sign of weak leg muscles, a major reason for falling |
| 7. I have trouble stepping up onto a curb | Yes (1) | No (0) | This is also a sign of weak leg muscles |
| 8. I often have to rush to the toilet | Yes (1) | No (0) | Rushing to the bathroom, especially at night, increases the chance of falling |
| 9. I have lost some feeling in my feet | Yes (1) | No (0) | Numbness in your feet can cause stumbles and lead to falls |
| 10. I take medicine that sometimes makes me feel light-headed or more tired than usual | Yes (1) | No (0) | Side effects from medicine can sometimes increase the chance of falling |
| 11. I take medicine to help me sleep or improve my mood | Yes (1) | No (0) | These medicines can sometimes increase the chance of falling. |
| 12. I often feel sad or depressed | Yes (1) | No (0) | Symptoms of depression, such as not feeling well or feeling slowed down, are linked to falls. |
| _____ | |||
| 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) |
