Pharmacist for review of antipsychotics and centrally acting pain relief. medication associated with falls Further information Item Evidence details Reference Older people admitted to hospital should have their ABPG p77 Liaise with Officer (MO) or Pharmacist for of with falls 10.7.1 Also: see note under medications (prescribed and non-prescribed) “Other Individualised reviewed and modified appropriately (and Interventions” p22. particularly in cases of multiple drug use). Further information Item Evidence details Reference Patients psychoactive medication should have ABPG p77 Liaise with Officer (MO) or Pharmacist for of with falls 10.7.1 Also: see note under their medication reviewed and, where possible, “Other Individualised discontinued gradually to minimise side effects and Interventions” p22. reduce their risk of falling. Item 10.7.1 Evidence details Reference Further No further If reporting dizziness, Monitor and record postural blood pressure. ABPG p69 check lying/standing blood pressure. If a drop >20mmHg systolic or 10mmHg diastolic is present, discuss plan of care with MO Further No further Item Evidence details Reference Assessment and management of postural ABPG p67 If reporting dizziness, check If a drop systolic or 10mmHg is present, discuss of care with MO N/A hypotension and review of medications, including medications associated with pre-syncope and syncope should form part of a multifactorial assessment and management plan. Further No further Item Evidence details Reference Educate patient to stand Encourage patient to sit up slowly from lying, stand ABPG p69 10.7.1
Pharmacist for review of medication associated with falls antipsychotics and centrally acting pain relief. Item Liaise with Officer (MO) or Pharmacist for of with falls 10.7.1 Evidence details Older people admitted to hospital should have their medications (prescribed and non-prescribed) reviewed and modified appropriately (and particularly in cases of multiple drug use). Reference ABPG p77 Further information Also: see note under “Other Individualised Interventions” p22. Item Liaise with Officer (MO) or Pharmacist for of with falls 10.7.1 Evidence details Patients psychoactive medication should have their medication reviewed and, where possible, discontinued gradually to minimise side effects and reduce their risk of falling. Reference ABPG p77 Further information Also: see note under “Other Individualised Interventions” p22. Item If reporting dizziness, check lying/standing blood pressure. If a drop >20mmHg systolic or 10mmHg diastolic is present, discuss plan of care with MO 10.7.1 Evidence details Monitor and record postural blood pressure. Reference ABPG p69 Further No further Item If reporting dizziness, check If a drop systolic or 10mmHg is present, discuss of care with MO N/A Evidence details Assessment and management of postural hypotension and review of medications, including medications associated with pre-syncope and syncope should form part of a multifactorial assessment and management plan. Reference ABPG p67 Further No further Item Educate patient to stand 10.7.1 Evidence details Encourage patient to sit up slowly from lying, stand Reference ABPG p69 Further No further
FRAMP-Evidence-table-acc.docx