Falls in Community- Dwelling Older Adult Flashcards
screening tools
to identity risk and direct the process
examination methods
- To capture the relevant components of movement and factors contributing to increased risk
- Predict future risk
- Provide directives for treatment
Individualized interventions
- Targeting risk factors
- Providing the right dosage
to a multi-modal exercise
program where indicated - Utilizing professionals and
services efficiently and
effectively
Risk factors with a stronger influence on fall risk in lower-function adults
- urinary incontinence
- cognitive impairment
- fear
purpose of screening
quickly identify risk and who requires further in depth assessment
what should therapists routinely ask
if older adult patients have fallen in last 12 months
screening should include:
- History and context of falls over
the last 12 months - At least one question about the
patient’s perception of difficulty
with balance or walking
When to do the SPLATT
pt has fallen in the past year and has difficulty with balance OR demonstrates unsteadiness
SPLATT
Symptoms
Previous falls
Location
Activity
Time of Day
Trauma
CDC Steadi Screening Tools
- TUG (>12 sec)
- 30 s chair stand
- 4 stage balance test (tandem < 10 s)
good outcome measure for reactive balance
MiniBEST
What do you NEED as part of your assessment
fear/confidence test
FES
self report assessment on fear
- a risk factor by itself
- also impacts decision making on progress with volitional vs reactive balance training
what is the biggest risk factor of falls
previous falls
needing an assistive device can…
increase fall risk
