All patients with a recent history of falls, such as a fall in the past 3 months, should be considered at higher risk for future falls.include being tethered to equipment, such as an IV pole, that could cause the patient to trip; impairment in vision that could cause a patient not to see an environmental hazard; and orthostatic hypotension, which could cause the patient to become lightheaded or pass out when standing.
3.3.4. What is the role of fall risk scores?
Assessment of risk factors for falls includes both the use of a standardized tool and an assessment of other factors that may increase risk of falls. Which other factors to consider beyond the standardized tool depend on clinical judgment and unit-specific policy.
Instructions on measuring and evaluating orthostatic vital signs can found