Risk Factor Assessment

Multifactorial Etiology

Most falls are caused by the interaction of multiple risk factors. The more risk factors a person has, the greater their chances of falling. Healthcare providers can lower a person’s risk by initially identifying the risk factors and determine which modifiable fall risk factors can be addressed to help them meet their goals.

Risk Factors for Falls

INTRINSIC

  • Advanced age
  • Previous falls
  • Muscle weakness
  • Gait and balance problems
  • Poor vision
  • Postural hypotension
  • Chronic conditions (eg, arthritis, stroke, incontinence, diabetes, Parkinson disease, dementia)
  • Fear of falling

EXTRINSIC

  • Lack of stair handrails
  • Poor stair design
  • Lack of bathroom grab bars
  • Dim lighting or glare
  • Obstacles and tripping hazards
  • Slippery or uneven surfaces
  • Psychoactive medications
  • Improper use of assistive device