Does the patient meet No further any of the following: Item Had a fall in the past 12 Evidence Documenting details a history of recent falls is a good Reference ABPG p30 Further Nil No further months? screening question for identifying people at higher risk of falls during their hospital stay. ABPG p15 Item Evidence details Reference Further Had a fall in the past 12 months? Nil No further A previous fall is a risk factor for falling in hospital. ABPG p29 Item Evidence details Reference Further Had a fall in the past 12 months? Nil No further Approximately 50% of falls are in patients who have already fallen. Item Evidence details Reference ABPG p15 Further Nil No further Unsteady when walking Postural instability and muscle weakness are risk / transferring or uses a factors for falling in hospital. walking aid? Item Evidence details Reference ABPG p27 Further Nil No further Confused, known Cognitive impairment (including agitation, delirium cognitive impairment or and dementia) is a major risk factor for falls. incorrectly answers any of the following: age, date of birth, current year or place? Identifying the presence of cognitive impairment ABPG p37 Item Nil Evidence details Reference Further Confused, known cognitive impairment or any of the Age, D of birth, Year and Place? No further should form part of the falls risk assessment process. Item Nil Evidence details Reference Further Confused, known cognitive impairment or any of the Age, D of birth, Year and Place? No further The presence of confusion or disorientation has ABPG p50 been independently associated with falls and fractures in hospital patients. Item Nil Evidence details Reference Further Confused, known cognitive impairment or any of the Age, D of birth, Year and Place? No further
Does the patient meet any of the following: No further Item Had a fall in the past 12 months? Nil Evidence details Documenting a history of recent falls is a good screening question for identifying people at higher risk of falls during their hospital stay. Reference ABPG p30 Further No further Item Had a fall in the past 12 months? Nil Evidence details A previous fall is a risk factor for falling in hospital. Reference ABPG p15 Further No further Item Had a fall in the past 12 months? Nil Evidence details Approximately 50% of falls are in patients who have already fallen. Reference ABPG p29 Further No further Item Unsteady when walking / transferring or uses a walking aid? Nil Evidence details Postural instability and muscle weakness are risk factors for falling in hospital. Reference ABPG p15 Further No further Item Confused, known cognitive impairment or incorrectly answers any of the following: age, date of birth, current year or place? Nil Evidence details Cognitive impairment (including agitation, delirium and dementia) is a major risk factor for falls. Reference ABPG p27 Further No further Item Confused, known cognitive impairment or any of the Age, of birth, Year and Place? Nil Evidence details Identifying the presence of cognitive impairment should form part of the falls risk assessment process. Reference ABPG p37 Further No further Item Confused, known cognitive impairment or any of the Age, of birth, Year and Place? Nil Evidence details The presence of confusion or disorientation has been independently associated with falls and fractures in hospital patients. Reference ABPG p50 Further No further Item Confused, known cognitive impairment or any of the Age, of birth, Year and Place? Nil Evidence details Reference Further No further D D D