FALL RISK STANDARD (65)    NUPA ASSESSMENT PROBLEMS (1927.2)

Name Value
PROBLEM FALL RISK STANDARD
PLAN
  • Assess patient's fall risk upon admission, change in status, after a change in medications, transfer to another unit and upon discharge.
  • Assess the patient's coordination and balance before assisting with transfer and mobility activities.
  • Educate patient/family to ask for assistance as needed.
  • Other
DESIRED OUTCOME 
Morse Fall Scale score of 25-50 or score of 0-24 with antihypertensives,
diuretics, psychotropics, sedatives, antianxiety, pain, antihistamines,
or antidiabetic medications started within the past 30 days.
ACTIVE YES