Publication - Consultation paper

National falls and fracture prevention strategy 2019-2024 draft: consultation

Published: 8 Jul 2019
Directorate:
Population Health Directorate
Part of:
Health and social care
ISBN:
9781839600029

We are consulting on a draft national prevention strategy for falls and fractures 2019 to 2024.

40 page PDF

621.4 kB

40 page PDF

621.4 kB

Contents
National falls and fracture prevention strategy 2019-2024 draft: consultation
Appendix 2. A multifactorial approach to falls prevention[40]

40 page PDF

621.4 kB

Appendix 2. A multifactorial approach to falls prevention[40]

The multifactorial screen will include a comprehensive falls history, general health questions and screening for risk factors related to:

The multifactorial screen will include a comprehensive falls history, general health questions and screening for risk factors related to:

  • alcohol intake related to the fall/s*
  • cardiovascular and neurological symptoms (including postural hypotension)
  • cognition*
  • environment
  • fear of falling, anxiety and depression
  • feet and footwear
  • fracture risk
  • function/activities of daily living
  • gait and balance, mobility and muscle strength
  • incontinence including urgency and frequency*
  • medications
  • nutritional status*
  • vision and hearing.

The Falls and Fracture Prevention Action Plan includes interventions to manage the known risk factors identified by the multifactorial screen.

Interventions may include:

  • Assessment of fracture risk +/- management of osteoporosis.
  • Detailed assessment of gait, balance and mobility levels and lower extremity joint function.
  • Strength and balance training, which is individualised, progressive, challenges balance and is of at least 50 hours duration (not all of which need be supervised directly).
  • Assessment of the home environment for falls hazards with safety intervention.
  • Assessment of activities of daily living (ADL) skills including use of adaptive equipment and mobility aids, as appropriate.
  • Therapeutic interventions to improve the person's functional ability and minimise fear of falling.
  • Management of risk associated with feet and footwear.
  • Medication review with modification or withdrawal.
  • Vitamin D supplementation.
  • Medical assessment where cardiovascular and neurological problems or unexplained falls are identified.
  • Management of postural hypotension.
  • Management of heart rate and rhythm abnormalities.
  • Assessment and management of visual impairment.
  • Assessment and management of hearing impairment.*
  • Education and information provision as part of a tailored multifactorial intervention.
  • Continence assessment and management.*
  • Nutritional assessment and advice.*
  • Alcohol advice and support if required
  • Assessment and management of fear of falling, anxiety or depression.*
  • Where cognitive impairment is recognised, referral for ongoing support as required
  • Assessment of telehealthcare needs.*
  • Alcohol intervention.*

*Indicates a recommendation not included in published guidelines but agreed by the development group as good practice.


Contact

Email: Gemma.McNeill@gov.scot