If reporting dizziness, Monitor and record postural blood pressure. ABPG p69 check lying/standing blood Assessment and management of postural hypotension ABPG p67 pressure. If a drop and review of medications, including medications >20mmHg systolic or associated with pre-syncope and syncope should form 10mmHg diastolic is part of a multifactorial assessment and management present, discuss plan of plan. care with MO Educate patient to stand Encourage patient to sit up slowly from lying, stand up ABPG p69 up slowly and wait until slowly from sitting and wait a short time before walking. dizziness resolves before When patients describe being or ABPG p72 “dizzy”, “giddy” “faint”, mobilising. this may mean anything from anxiety or fear of falling, If dizziness persists, to postural disequilibrium, vertigo or presyncope. discuss plan of care with An important step in minimising the risk from falls ABPG p73 MO associated with dizziness is to assess vestibular function. Cognitive State Risks 10.6.1 Previous delirium or Dementia has been associated with falls in hospital ABPG p50 known diagnosis of Patients with dementia are more susceptible to delirium. ABPG p51 dementia? Older people with cognitive impairment have an ABPG p50 increased risk of falls. New or worsening memory Repeatedly and regularly check for the presence of ABPG p51 impairment, confusion or delirium. Rapid diagnosis and treatment of a delirium disorientation? and its underlying cause (e.g. infection, dehydration, constipation, pain) are crucial. The presence of confusion or disorientation has been ABPG p50 independently associated with falls and fracture in
If reporting dizziness, check lying/standing blood pressure. If a drop >20mmHg systolic or 10mmHg diastolic is present, discuss plan of care with MO Monitor and record postural blood pressure. 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. ABPG p69 ABPG p67 Educate patient to stand up slowly and wait until dizziness resolves before mobilising. If dizziness persists, discuss plan of care with MO Encourage patient to sit up slowly from lying, stand up slowly from sitting and wait a short time before walking. When patients describe being “dizzy”, “giddy” or “faint”, this may mean anything from anxiety or fear of falling, to postural disequilibrium, vertigo or presyncope. An important step in minimising the risk from falls associated with dizziness is to assess vestibular function. ABPG p69 ABPG p72 ABPG p73 Cognitive State Risks 10.6.1 Previous delirium or known diagnosis of dementia? Dementia has been associated with falls in hospital Patients with dementia are more susceptible to delirium. Older people with cognitive impairment have an increased risk of falls. ABPG p50 ABPG p51 ABPG p50 New or worsening memory impairment, confusion or disorientation? Repeatedly and regularly check for the presence of delirium. Rapid diagnosis and treatment of a delirium and its underlying cause (e.g. infection, dehydration, constipation, pain) are crucial. The presence of confusion or disorientation has been independently associated with falls and fracture in ABPG p51 ABPG p50
FRAMP-Evidence-table-not-acc.docx