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If a patient completes the Stay Independent brochure and scores a 4, and feels unsteady when standing or walking, what is the next step the healthcare provider should do?

Algorithm for Fall Risk Screening, Assessment, and Intervention

1. Patient completes the Stay Independent brochure
2. Screen for fall risk
- Patient scores ≥ 4 on the Stay Independent brochure
- OR
- Clinician asks key questions:
- Fell in past year?
- If yes, ask: How many times? Were you injured?
- Feels unsteady when standing or walking?
- Worries about falling?

3. Evaluate gait, strength, & balance
- Timed Up & Go (recommended)
- 30-Second Chair Stand (optional)
- 4-Stage Balance Test (optional)

4. Determine risk level and appropriate intervention:

- LOW RISK:
- Educate patient
- Vitamin D +/- calcium
- Refer for strength & balance exercise (community exercise or fall prevention program)

- MODERATE RISK:
- Educate patient
- Vitamin D +/- calcium
- Refer to physical therapy to improve gait, strength, and balance
- OR
- Refer to a community fall prevention program

Sagot :

GinnyAnsweridn

Final answer:

After a patient scores 4 in the Stay Independent brochure and feels unsteady when standing or walking, the healthcare provider should evaluate the patient's gait, strength, and balance, categorize their fall risk level, and implement individualized fall interventions.


Explanation:

After a patient completes the Stay Independent brochure and scores 4 while feeling unsteady when standing or walking, the next step for the healthcare provider should be to:

  • Evaluate the patient's gait, strength, and balance using assessments like Timed Up & Go, 30-Second Chair Stand, and 4-Stage Balance Test.
  • Based on the evaluation, the healthcare provider should categorize the patient's fall risk level (low, moderate) and initiate individualized fall interventions which may include educating the patient, recommending Vitamin D +/- calcium, referring for strength and balance exercises, or involving a physical therapist or a community fall prevention program.

Learn more about Fall risk assessment and intervention here:

https://brainly.com/question/48779764


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