Difference between revisions of "Fall Risk"
From Patient Determinants
(Created page with "This is a [http://www.cdc.gov/homeandrecreationalsafety/pdf/steadi-2015.04/Stay_Independent_brochure-a.pdf '''Fall Risk Questionnaire'''] to determine the risk for falls. With...") |
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!style="width:40%;background: #e3e3e3" align="left"|Over the last 2 weeks, how often have you been bothered by the following problems? | !style="width:40%;background: #e3e3e3" align="left"|Over the last 2 weeks, how often have you been bothered by the following problems? | ||
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!style="width:10%;background: #e3e3e3;"|Several days | !style="width:10%;background: #e3e3e3;"|Several days | ||
!style="width:10%;background: #e3e3e3;"|Over half the days | !style="width:10%;background: #e3e3e3;"|Over half the days | ||
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|style="background-color: #FFCCCC" align="left"|[[Q15|1. Little interest or pleasure doing things]] | |style="background-color: #FFCCCC" align="left"|[[Q15|1. Little interest or pleasure doing things]] | ||
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|style="background-color: #FFCCCC" align="left"|[[Q16|2. Feeling down, depressed, or hopeless]] | |style="background-color: #FFCCCC" align="left"|[[Q16|2. Feeling down, depressed, or hopeless]] | ||
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|style="background-color: #FFCCCC" align="left"|[[MH Depression PHQ-3|3. Trouble failing asleep, or sleeping too much]] | |style="background-color: #FFCCCC" align="left"|[[MH Depression PHQ-3|3. Trouble failing asleep, or sleeping too much]] | ||
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|style="background-color: #FFCCCC" align="left"|[[MH Depression PHQ-4|4. Feeling tired or having little energy]] | |style="background-color: #FFCCCC" align="left"|[[MH Depression PHQ-4|4. Feeling tired or having little energy]] | ||
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|style="background-color: #FFCCCC" align="left"|[[MH Depression PHQ-5|5. Poor appetite or overeating]] | |style="background-color: #FFCCCC" align="left"|[[MH Depression PHQ-5|5. Poor appetite or overeating]] | ||
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|style="background-color: #FFCCCC" align="left"|[[MH Depression PHQ-6|6. Feeling bad about yourself - or that you are a failure or have let yourself or your family down]] | |style="background-color: #FFCCCC" align="left"|[[MH Depression PHQ-6|6. Feeling bad about yourself - or that you are a failure or have let yourself or your family down]] | ||
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|style="background-color: #FFCCCC" align="left"|[[MH Depression PHQ-7|7. Trouble concentrating on things, such as reading the newspaper or watching television]] | |style="background-color: #FFCCCC" align="left"|[[MH Depression PHQ-7|7. Trouble concentrating on things, such as reading the newspaper or watching television]] | ||
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|style="background-color: #FFCCCC" align="left"|[[MH Depression PHQ-8|8. Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual]] | |style="background-color: #FFCCCC" align="left"|[[MH Depression PHQ-8|8. Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual]] | ||
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|style="background-color: #FFCCCC" align="left"|[[MH Depression PHQ-9|9. Thoughts that you would be better off dead or of hurting yourself in some way]] | |style="background-color: #FFCCCC" align="left"|[[MH Depression PHQ-9|9. Thoughts that you would be better off dead or of hurting yourself in some way]] | ||
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|style="background-color: #FFCCCC" align="right"|Total the score | |style="background-color: #FFCCCC" align="right"|Total the score | ||
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|align="center"|_____ + | |align="center"|_____ + | ||
|align="center"|_____ + | |align="center"|_____ + | ||
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|align="center"|=Total Score | |align="center"|=Total Score | ||
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
| Over the last 2 weeks, how often have you been bothered by the following problems? | Several days | Over half the days | Nearly every day |
|---|---|---|---|
| 1. Little interest or pleasure doing things | 1 | 2 | 3 |
| 2. Feeling down, depressed, or hopeless | 1 | 2 | 3 |
| 3. Trouble failing asleep, or sleeping too much | 1 | 2 | 3 |
| 4. Feeling tired or having little energy | 1 | 2 | 3 |
| 5. Poor appetite or overeating | 1 | 2 | 3 |
| 6. Feeling bad about yourself - or that you are a failure or have let yourself or your family down | 1 | 2 | 3 |
| 7. Trouble concentrating on things, such as reading the newspaper or watching television | 1 | 2 | 3 |
| 8. Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual | 1 | 2 | 3 |
| 9. Thoughts that you would be better off dead or of hurting yourself in some way | 1 | 2 | 3 |
| Total the score | _____ + | _____ + | _____ |
| =Total Score | _____ |
If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?
□ Not difficult at all
□ Somewhat difficult
□ Very difficult
□ Extremely difficult
Interpreting PHQ-9 Scores
| Diagnosis | Total Score | For Score | Suggested Action |
|---|---|---|---|
| Minimal depression | 0-4 | ≤ 4 | The score suggests the patient may not need depression treatment |
| Mild depression Moderate depression |
5-9 10-14 |
5-14 | Physician uses clinical judgement about treatment, based on patient's duration of symptoms and functional impairment |
| Moderately severe depression Severe depression |
15-19 20-27 |
> 14 | Warrants treatment for depression, using antidepressant, psychotherapy and/or combination of treatment |
The PHQ-9 is described in more detail at the Pfizer website.
