Difference between revisions of "Fall Risk"
From Patient Determinants
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| − | This is a [ | + | 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 [[Well-Being Assessment|Patient Well-Being Assessment]] | Return to the [[CDC Health Risk Assessments]] or [[Well-Being Assessment|Patient Well-Being Assessment]] | ||
Revision as of 10:25, 23 September 2016
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) |
