Appendix B22: Suggestions for Further Assessment and/or Interventions

The Falls Management Program Manual

FMP FindingsSuggestions for Further Assessment and/or Interventions
Medications
Antipsychotics
Antidepressants
Benzodiazepines
Other sedatives/hypnotics
Digoxin
Review all medications.
Consider changes if appropriate.
Consider psychiatric evaluation if indicated to reevaluate psychotropic medications.
Postural hypotensionDiagnose and treat postural hypotension:
Review cardiovascular, diuretic and other medications.
Consider blood work for BUN/Creatinine ratio.
Consider TED hose.
If severe, consider prescribing fludrocortisone (Florinef) or midodrine (ProAmatine)
Low visionConsider optometry or ophthalmology evaluation.
Unsafe gait, transfers, and/or wheelchair seating problemsConsider OT/PT evaluation.

Conditions that increase fall risk

Cardiac

Postural hypotension
Arrhythmias

Neuropsychiatric

Stroke and TIAs
Parkinson's disease
Dementias and delirium
Dizziness
Depression

Drugs

Antipsychotics
Antidepressants
Benzodiazepines
Other sedatives/hypnotics
Digoxin
Polypharmacy and drug interactions

Others

Poor vision
Incontinence
Dehydration
Use of restraints
Hypoglycemia
Fear of falling
Foot problems

Page last reviewed February 2010
Internet Citation: Appendix B22: Suggestions for Further Assessment and/or Interventions: The Falls Management Program Manual. February 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries/fallspx/fallspxmanapb22.html