peds falls

caliotter3 · Nov 15, 2007

Have one somewhere, but have to find it. When I find it I will post for you.

caliotter3 · Nov 18, 2007

Haven't been able to locate the one for peds yet but did find one for adult. Maybe you could modify this. It has a lot on it about ambulating, so that wouldn't be appropriate for anyone who doesn't walk yet. Will continue looking for the peds one for you. This is typed out in a straight format. On the form there are nice boxes for everything.

Adult Fall Risk Assessment Tool

Instructions: Check applicable items and add total score

Category:

I. Age

80 or more years old 3

70-79 years old 1

II. Mental Status

Oriented at all times 0

Confused at all times 3

Intermittent confusion 2

III. Recent Hospitalization

Within last month 2

IV. Elimination

100% dependent 0

Catheter and/or ostomy 1

Elim. with assistance 3

Independent & continent 5

V. Falling within past 6 mos

No hx of falling 0

Has fallen 1or2times before 2

Hx of mult falls/fractures 5

VI. Visual impairment

Visually impaired 1

Wears glasses 1

Assess the pt's gait by having him/her: 1)Stand in 1 spot with both feet on ground

for 30 sec without holding onto something; 2)walk straight forward; 3)walk through

doorway; 4)walk making a turn

VII. Gait and Balance

Wide base support 1

Loss of balance while

standing 1

Balance probs when walking 1

Decrease of muscular

coordination 1

Lurching,swayingorslapping

gait 1

When walking thru a door-

way holds on or changes

gait pattern 1

Jerking or instability when

making turns 1

Use of furniture when trans-

ferring or walking 1

VIII. Meds

ETOH Anesthetic Antihistamines Antihypertensives

Cathartics Diuretics Hypoglycemic Narcotics

Sed/hypnotics Anticonvulsants Psychotropics Benzodiazepines Other

IX. How many meds from the above groups is pt taking?

No meds 0

One med 1

Two or more meds 2

With a change of med and/or dosage in the past 5 days, add one point to the med

score.

Drop in systolic bp of 20 mg Hg or more between lying and standing 2

X. Impairments

Limited ROM/muscle strength 0

None 1

Arm(s) 1

Leg(s) 2

Environment clear 0

cluttered 1

A score of 10 or above indicates a risk of falling. Reassessment to be completed at

least annually or more often as risk indicates.

(HTH)

nrsbetrn · Nov 20, 2007

Thanks for the info. I have an assessment for adults but need one for peds. Thanks for looking and let me know if you find something.

caliotter3 · Nov 24, 2007

Still looking for the peds version. Got boxes of junk to go though. When I find it, will be sure to provide the info. As a matter of fact, I may have had two versions of a peds fall risk assessment. Just have to find them.