Fall Risk Assessment
Falls are common in adults 65 years of age and older.
Falls are common in adults 65 years of age and older. In the United States, about a third of older adults who live at home and about half of people living in nursing homes fall at least once a year. There are many factors that increase the risk of falling in older adults. They include: Mobility problems (e.g., trouble walking or standing up) Balance disorders Chronic (long-term) illnesses Impaired vision Taking certain medicines Foot problems and wearing unsafe shoes Mild cognitive impairment or certain types of dementia Many falls cause at least some injury. These range from mild bruising to broken bones , head injuries , and even death. In fact, falls are a leading cause of death in older adults. Other names: fall risk evaluation, fall risk screening, assessment, and intervention
Why is this test ordered? The Centers for Disease Control and Prevention (CDC) and the American Geriatrics Society recommend yearly fall assessment screening for all adults 65 years of age and older. If the screening shows you are at risk, you may need an assessment. The assessment includes performing a series of tasks called fall assessment tools. You also may need an assessment if you have certain symptoms. Falls often come without warning, but if you have any of the following symptoms, you may be at higher risk: Dizziness Irregular or rapid heartbeats ( arrhythmia ) Blood pressure that drops too much when you stand up
Clinical Interpretation
The results may show you have a low, moderate, or high risk of falling. They also may show which areas may be increasing your risk for falls (e.g., gait, strength, and/or balance). Based on your results, your provider may make recommendations to reduce your risk of falling. They may include: Exercising to improve your strength and balance. You may be given instructions on specific exercises or be referred to a physical therapist. Changing or reducing the dose of medicines that may be affecting your gait or balance. Some medicines have side effects that cause dizziness, drowsiness, or confusion. Taking vitamin D to strengthen your bones. Getting your vision checked by an eye doctor. Switching to safer footwear to lower your risk of falling. Getting a referral to a podiatrist (foot doctor) if you are having problems with balance or gait. Getting rid of any safety hazards in your home. These may include poor lighting, loose rugs, and/or cords on the floor. Treating any medical conditions that could increase your risk of falls. If you have questions about your results and/or recommendations, talk to your provider. Learn more about laboratory tests, reference ranges, and understanding results .
Clinical Protocol & Patient Advice
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You don't need any special preparations for a fall risk assessment.
Usage Guidance
- Reference ranges vary by laboratory. Always discuss your specific results with a qualified healthcare professional.
Source: MedlinePlus, National Library of Medicine. View the original.