The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities

Appendix B22: Suggestions for Further Assessment and/or Interventions

FMP Findings Suggestions 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 hypotension Diagnose 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 vision Consider optometry or ophthalmology evaluation.
Unsafe gait, transfers, and/or wheelchair seating problems Consider 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 October 2014
Page originally created February 2010
Internet Citation: Appendix B22: Suggestions for Further Assessment and/or Interventions. Content last reviewed October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries/fallspx/fallspxmanapb22.html