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(Customize this form by using your logo if desired and removing the instructions below×STRATIFY Fall Risk Assessment Tool History of FallsMental Status VisionToileting Transfer/ MobilityQuestion Did

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How to fill out the stratify fall risk assessment:

1. Start by gathering the necessary information: Before filling out the stratify fall risk assessment, make sure you have all the required information at hand. This may include the patient's medical history, current medications, and any previous incidents or falls.
2. Review the assessment form: Familiarize yourself with the layout and content of the stratify fall risk assessment form. Understand the different sections and categories that need to be addressed.
3. Begin with the patient's personal information: Fill out the patient's name, age, date of birth, gender, and any other demographic details required on the form.
4. Assess the patient's medical history: This section requires you to provide information about the patient's existing medical conditions, previous falls, surgeries, or any specific impairments that may contribute to their fall risk. Provide accurate and detailed information to ensure an accurate assessment.
5. Evaluate medication usage: List all the medications the patient is currently taking, including prescription drugs, over-the-counter medications, and supplements. Some medications may increase the risk of falls, so it's important to capture a comprehensive list.
6. Assess the patient's mobility and balance: This section typically involves evaluating the patient's ability to walk, stand, and maintain balance. It may include questions about the use of walking aids, such as canes or walkers, and any assistive devices they may require.
7. Evaluate the patient's cognitive status: Assess the patient's cognitive abilities, including memory, attention span, and their ability to follow instructions. Cognitive impairments can increase the risk of falls and should be considered while completing the assessment.
8. Consider environmental factors: Consider the patient's home environment and any potential hazards that may contribute to their fall risk. This may include inadequate lighting, loose rugs, or slippery surfaces.

Who needs a stratify fall risk assessment?

1. Older adults: Stratify fall risk assessments are commonly used for older adults who may be more susceptible to falls due to age-related factors such as declines in muscle strength, balance, and vision.
2. Patients with medical conditions: Individuals with certain medical conditions, such as Parkinson's disease, stroke, or osteoporosis, may require a stratify fall risk assessment to determine their level of fall risk and develop appropriate prevention strategies.
3. Individuals with a history of falls: If someone has previously experienced falls, it's crucial to assess their fall risk to prevent future incidents. The stratify fall risk assessment can help identify potential risk factors and guide intervention measures.

Remember, it is important to consult with healthcare professionals or specialists who are familiar with the specific assessment tools and criteria, as different organizations may use slightly different protocols for conducting stratify fall risk assessments.

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What is stratify fall risk assessment?

Stratify fall risk assessment is a tool used to identify individuals who are at risk of falling.

Who is required to file stratify fall risk assessment?

Healthcare professionals, such as nurses and doctors, are required to file stratify fall risk assessments for their patients.

How to fill out stratify fall risk assessment?

To fill out a stratify fall risk assessment, healthcare professionals gather information about the patient's medical history, medications, mobility, and previous falls.

What is the purpose of stratify fall risk assessment?

The purpose of stratify fall risk assessment is to prevent falls and injuries in individuals who are at risk.

What information must be reported on stratify fall risk assessment?

Information such as the patient's age, medical conditions, medications, mobility status, and history of falls must be reported on a stratify fall risk assessment.