Key recommendations

Algorithm for Fall Risk Screening and Intervention

  • All adults 65 years and older should be screened at least once a year to help identify and manage their fall risk factors.

  • ​While screening tools have been used to predict a general level of risk for falling, they do not accurately predict which people will actually fall or give much information about what can be done to decrease the risk of falling.

  • ​Fall risk screening identifies older adults at increased risk of falls who would likely benefit from a more in-depth evaluation.

  • Screening tools such as the Staying Independent Checklist provide the ability for seniors to self-assess their risk for falls.​

  • Keep in mind that validated screening tools can also be used as a means to encourage a discussion around falls since many older patients who have fallen do not bring it up at medical appointments.

Opportunistic Screening

Ask the patient the following 3 key questions:

1. Have you had any falls in the past year?

2. Do you feel unsteady when standing or walking?

3. Are you worried about falling?

Or:

The patient obtains a score of 4 or more on their Staying Independent Checklist? (optional)

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