Clinical Evaluation
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Clinical Evaluation – Detailed Fall History
- Where did you fall?
- Time of day?
- What were you doing?
- Carrying anything?
- How were you feeling?
- What were you wearing? eg, clothing and footwear
- Seek medical attention; any injuries?
- Recent illness?
- Did you lose consciousness?
- Any witnesses?
- Using assistive device? eg, cane, walker (type?)
- New or recent changes in medications? Rx and OTC
- Social history/Living environment
- Diet, hydration, alcohol intake, illicit drug use
- Do you have a PCP?
NOTE
Post-ED care in the falls clinic will include a detailed fall(s) multifactorial fall history assessment. Several questions may be confirming what was addressed in the emergency department evaluation.
Abbreviations
OTC, over-the-counter (medications)
PCP, primary care provider
Rx, prescription medications
ED, emergency department