Falls Home
Objectives
Interactive Case Study
History of Presenting Complaint
Medical History
Medication History
Social History
Patient Interview
Patient Interview
Risk Factors
Goals for the future
Physical Assessment
Investigations
Liver Function Tests
Echocardiogram
ECG
Bone Mineral Density
HbA1C
B12
TSH
Calcium
Urea and Electrolytes
FBC
Further Investigations
Creatine Kinase (CK)
Magnesium
Parathyroid Hormone Levels (PTH)
Muscle core biopsy
Brain MRI
Erythrocyte Sedimentation Rate (ESR)
Mid-stream Urine (MSU)
Vitamin D
Effects of Vit D Deficiency
Social Withdrawal
Geriatric Depression Scale
GDS result
Answer
Contributing risk factors
Depression and fear of falling
Hypotension and dizziness
Hypoglycemia
Visual disturbances
Polypharmacy
altered gait, mobility etc
foot problems
Polypharmacy
dizziness and poor balance
congestive heart failure
osteoarthritis
hypotension
diabetes
Medication changes
Team Approach
Occupational Therapy Assessment
Home Assessment
Care Plan
Case Summary
Multi-disciplinary care review
podiatrist
optometrist
gp
social worker
occupational therapist
psychotherapist
psychologist
Resources
Glucometer
Despite the fact that Mrs Cloverdale’s blood sugars are improved, would you recommend the purchase of a blood glucometer so that she can keep a closer watch on her blood sugar levels?
Yes
No