​Identifying High Fall Risk in Older Adults


To determine whether an older adult faces an elevated risk of accidental falls, a systematic assessment approach is essential—starting with rapid screening and progressing to comprehensive evaluation when needed.

⚡ ​1. Quick Screening & Initial Identification

Begin by asking these key questions:

  • Has the individual fallen 2+ times in the past year?
  • Do they feel unsteady or struggle with balance?
  • Are there symptoms of injury or acute illness?
    ​**→ If “yes” to any**, proceed to a full fall-risk assessment .

🔍 ​2. Comprehensive Risk Assessment

For high-risk individuals, evaluate these critical dimensions:

🧩 ​A. Health History & Baseline Profile
  • Demographics: Age (especially ≥75), gender, and ethnicity .
  • Fall history: Document prior falls—context, location, injuries, and triggers .
  • Medical conditions: Screen for:
    • Neurological: Stroke, Parkinson’s, neuropathy.
    • Musculoskeletal: Osteoporosis, arthritis, prior fractures.
    • Cardiovascular: Orthostatic hypotension, arrhythmias.
    • Vision/Hearing: Cataracts, glaucoma, macular degeneration .
  • Medications: Flag sedatives, antidepressants, diuretics, or antihypertensives that cause dizziness/drowsiness .
🧪 ​B. Physiological Function Tests
  • Cardiovascular: Check orthostatic vital signs (blood pressure/heart rate when lying/standing) .
  • Vision/Hearing: Assess acuity and field deficits .
  • Mobility & Balance:
    • Timed Up-and-Go (TUG) Test​ (>12 seconds indicates risk) .
    • 30-Second Chair Stand Test: <19 reps (men) or <16 reps (women) signals leg weakness .
    • Functional Reach Test: <25 cm predicts imbalance .
    • Single-Leg Balance: Inability to hold ≥5 seconds suggests high risk .
🏠 ​C. Environmental & Behavioral Review
  • Home hazards: Check for poor lighting, wet floors, loose rugs, clutter, or missing handrails (70% of falls occur at home) .
  • Footwear/Clothing: Assess for improper fit or non-slip soles .
  • Behavior: Note rushing, multitasking, or skipping assistive devices .
🧠 ​D. Cognitive & Psychological Factors
  • Cognition: Use MMSE or MoCA to screen for impairment affecting judgment .
  • Fear of falling: Evaluate if anxiety restricts activity → accelerates muscle loss .

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