Educate patient, consider vitamin D/calcium, refer for strength and balance community-based exercise programs:
Moderate risk protocol PLUS:
These recommendations are for all healthcare providers, but what about in the busy ED? And do these questions predict outcomes?
One study that examined whether responses to the STEADI questions predicted AEs after older-adult ED fall visits found that a high score alone did not predict adverse outcomes, but that some questions were associated with AEs at 6 months. Questions that predicted recurrent falls included “Had previous fall,” “Feels unsteady when walking sometimes,” and “Lost some feeling in their feet.”
Sri-On J et al. Acad Emerg Med. 2018;25(10):13413.
AE, adverse event; ED, emergency department; PT, physical therapy.
STEADI, Stopping Elderly Accidents, Deaths & Injuries.