Falls

Question 1

What is the O in Socate for falls?

Answer 1

When did they fall and where?
Events leading up to the fall

Question 2

What is the C in Socate for falls?

Answer 2

R CLASP R
R- remember falling?
C-cause (Was it an intrinsic cause or extrinsic)
L- how did they land?
A - Did the fall involve furniture or mobility aids?
S - What surface did they fall onto?
P- position (Was the fall from standing, seated or height?)
R- hip Replacement

Question 3

What is the A in Socate for falls?

Answer 3

Seizure, headache, dizziness

C- cardiac symptoms
A- anticoagulants?
P- pain
F- FAST test
U- urinary system
L- LOC

Question 4

What is the T in Socate for falls?

Answer 4

How long have they been on the floor?
Any previous falls? How frequently

Question 5

What is the E in Socate for falls?

Answer 5

Anything that makes the mobility worse? Anything that could improve mobility?

Question 6

What does WOMANPE stand for in regards for collapse causes?

Answer 6

VV- Vasovagal syncope
O - Orthostatic hypotension
M - Mechanical
A - arrhythmias
N - neurological
P - psychological cause
E - electrolyte imbalance

Question 7

What questions can be asked if a fall is suspected to be vasovagal?

Answer 7

Hot environment prior to fall? Prolonged standing? dehydrated? Quick recovery post fall?

Question 8

What questions can be asked if a fall is suspected to be mechanical?

Answer 8

How did the patient feel before they fell? Did they trip?

Question 9

What checked if a fall is suspected to be due to electrolyte balance?

Answer 9

Hyperacute or flattened T waves. Abnormal QTC intervals. Blood glucose