Get the free Falls Prevention Patient Referral Form - hqscgovtnz - hqsc govt

Falls Prevention Patient Referral Form Patient: Gender: M / F Referred to: NHS: Ethnicity: DOB: NZ European More Pacific Island Asian Address: Other: Patients Address: Phone: Patients phone: Email:

How to fill out falls prevention patient referral

How to fill out falls prevention patient referral:

1. Start by gathering the necessary information about the patient, including their name, age, contact information, and medical history.
2. Next, identify the reason for the falls prevention referral. Determine whether the patient has a history of falls, has mobility issues, or any other specific risk factors that may warrant falls prevention measures.
3. Consult with the patient's healthcare provider to determine the appropriate falls prevention interventions and strategies for the patient. This may include exercises to improve balance and strength, medication adjustments, home safety modifications, or physical therapy referrals.
4. Document the recommended falls prevention interventions on the referral form, ensuring that all details are clear and concise. Include any relevant medical codes or terminology if required.
5. Provide any additional information or instructions as necessary, such as the frequency of follow-up visits or any specific precautions the patient should take to prevent falls.
6. Double-check the referral form for accuracy and completeness before submitting it to the appropriate department or healthcare provider.

Who needs falls prevention patient referral:

1. Elderly individuals who are at risk of falls due to age-related factors such as decreased muscle strength, balance problems, or chronic health conditions.
2. Patients who have a history of falls or near falls, regardless of age, as they may benefit from falls prevention interventions to reduce the risk of future falls.
3. Individuals with mobility issues or physical disabilities that increase their vulnerability to falls, such as those who rely on assistive devices or have limited mobility due to neurologic conditions.
4. Patients who are taking medications known to cause dizziness or impair balance, as falls prevention measures can help minimize the risk associated with these medications.
5. Individuals who have recently undergone surgery or have experienced an acute illness or injury that may temporarily affect their balance or mobility.
6. Patients with certain medical conditions that predispose them to falls, such as Parkinson's disease, stroke, osteoporosis, or cardiovascular diseases.

Remember, falls prevention patient referral should be considered for anyone who may benefit from targeted interventions to reduce their risk of falls and promote their safety and well-being.

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What is falls prevention patient referral?

Falls prevention patient referral is a process where healthcare providers assess and refer patients who are at risk of falling for appropriate interventions to reduce the risk of falls.

Who is required to file falls prevention patient referral?

Healthcare providers such as physicians, nurses, physical therapists, and occupational therapists are required to file falls prevention patient referrals.

How to fill out falls prevention patient referral?

Healthcare providers must assess the patient's risk of falling, determine appropriate interventions, and document the referral in the patient's medical records.

What is the purpose of falls prevention patient referral?

The purpose of falls prevention patient referral is to reduce the risk of falls in patients by providing appropriate interventions and education.

What information must be reported on falls prevention patient referral?

Information such as patient demographics, medical history, fall risk assessment, recommended interventions, and follow-up plan must be reported on falls prevention patient referral.