Page 22 - FALL GUIDELINES MOH 2019

5.0 PREVENTION AND INTERVENTION

FALLS RISK MANAGEMENT

Falls risk management can be divided into 2 levels: general and specific.

General Risk Management

These measures are recommended at all levels.

GENERAL MEASURES RISK STRATIFICATION

 Adequate lighting  Screening
 Walkway obstacles cleared  Cohort of high risk patients
 Floors kept dry and clean
 Grab bars
 Call bells
 Appropriate footwear
 Appropriate walking aids
 Ultra low bed (where available)
 Avoidance of high risk drugs

Specific Risk Management

These measures are recommended when and where resources are available.

RISK FACTORS SPECIFIC INDIVIDUALIZED INTERVENTION
Sensory deprivation Try to correct potential reversible risk
factors
Postural hypotension Manage accordingly
Weakness, abnormalities of joints or Physio- and occupational therapy
balance

Incontinence Manage accordingly
Syncope/near syncope Manage accordingly
Confusion/agitation Behavioural management
Drugs Medication review

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