up slowly and wait until up slowly from sitting and wait a short time before dizziness resolves walking. before mobilising. If dizziness persists, discuss plan of care with MO When patients describe being or ABPG p72 Item Evidence details Reference Further Educate to stand up slowly and until dizziness before mobilising. 10.7.1 No further “dizzy”, “giddy” If dizziness persists, discuss plan of with MO this may mean anything from anxiety or fear “faint”, of falling, to postural disequilibrium, vertigo or presyncope. An important step in minimising the risk from falls ABPG p73 Item Evidence details Reference Further Educate to stand up slowly and until dizziness before mobilising. 10.7.1 No further If dizziness persists, discuss plan of with MO associated with dizziness is to assess vestibular function. Cognitive State Risks 10.6.1 Item Evidence details Reference Further Nil Nil No further Item 10.6.1 Evidence details Reference Further No further Previous delirium or Dementia has been associated with falls in ABPG p50 known diagnosis of hospital. dementia? Further Item 10.6.1 Evidence details Reference No further Patients with dementia are more susceptible to ABPG p51 delirium or of delirium. Item 10.6.1 Evidence details Reference Further No further Older people with cognitive impairment have an ABPG p50 delirium or of increased risk of falls. Item 10.6.1 Evidence details Reference Further No further New or worsening Repeatedly and regularly check for the presence of ABPG p51 memory impairment, delirium. Rapid diagnosis and treatment of a confusion or delirium and its underlying cause (e.g. infection,
up slowly and wait until dizziness resolves before mobilising. If dizziness persists, discuss plan of care with MO up slowly from sitting and wait a short time before walking. Item Educate to stand up slowly and until dizziness before mobilising. If dizziness persists, discuss plan of with MO 10.7.1 Evidence details When patients describe being “dizzy”, “giddy” or “faint”, this may mean anything from anxiety or fear of falling, to postural disequilibrium, vertigo or presyncope. Reference ABPG p72 Further No further Item Educate to stand up slowly and until dizziness before mobilising. If dizziness persists, discuss plan of with MO 10.7.1 Evidence details An important step in minimising the risk from falls associated with dizziness is to assess vestibular function. Reference ABPG p73 Further No further Item Cognitive State Risks 10.6.1 Evidence details Nil Reference Nil Further No further Item Previous delirium or known diagnosis of dementia? 10.6.1 Evidence details Dementia has been associated with falls in hospital. Reference ABPG p50 Further No further Item delirium or of 10.6.1 Evidence details Patients with dementia are more susceptible to delirium. Reference ABPG p51 Further No further Item delirium or of 10.6.1 Evidence details Older people with cognitive impairment have an increased risk of falls. Reference ABPG p50 Further No further Item New or worsening memory impairment, confusion or 10.6.1 Evidence details Repeatedly and regularly check for the presence of delirium. Rapid diagnosis and treatment of a delirium and its underlying cause (e.g. infection, Reference ABPG p51 Further No further