Falls red flags
-Loc
-injury
-Chest pain, palpitations prior to event
- when happens after standing or sitting- red
-neurological symptoms
-problems walking
-symptoms between events
Ask about alcohol
Medication- cause hypotension and anti-cholinergic
Anti-cholinergic side effects
Falls
Confusion
Dizziness
Dry mouth
Constipation
Blurred vision
Anti-cholinerguc calculator
Score >3 increased cognitive impairment
Causes of falls
Age
Sarcopenia
Sensory- sight hearing
Dizziness/ vertigo
Dementia
Neuro- Parkinson’s
Delirium
MSK
Postural hypotension
Syncope
Medication- anti cholinergic
Polypharmacy
Incontinence
Alcohol
Hypoglycaemia
Walking aids
Environmental factors
Treatment for falls
Risk assessment
Alarms
Physio
OT
Vit D
Medication review
Bloods - FBC, LFT, u&e, ca, folate, b12/ferritin, glucose/hba1c
Hearing and sight assessment
Slow to stand.
Supports at home
