Fall risk domain | Assessment item |
---|---|
Physical –Movement Related | Unsteady gait |
Walks with help | |
Climb stairs with help | |
Requires help in doing housework | |
Requires help in cooking | |
Requires help in shopping | |
Physical –Weakness/Debility | Dressing lower body with help |
Transfers with help | |
Bathes with help | |
Experienced worsening ADL in 90Â days | |
Clinical – Cognitive/Mental | Cognitive decline in past 90 days |
Memory problem | |
Anxiety diagnosis | |
Depression diagnosis | |
Clinical -- Physical/General | Vision problem |
Dizziness | |
Poor self-reported health | |
Not continent | |
Acute health flare-up | |
Constipation (tested, not significant) | |
Difficulty sleeping (tested, not significant) | |
Fatigue | |
Pain intensity | |
Breakthrough pain |