Fall prevention asssessments
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Neurological test to detects inability to maintain a steady posture with the eyes closed | Romberg test
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What does a positive Romberg test indicate? | sensory ataxia (loss of motor coordination)
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Pt. stands with feet together and hands by side then closes eye for 1 minute while examiner observes. | Romberg test
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Assessment indicates fall risks for older adults | Tinetti Balance Assessment
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3 parts to Tinetti: | balance, gait, balance + gait
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TInetti score ≤18 | Fall risk = high
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Tinetti score 19-23 | Fall risk = moderate
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tinetti score ≥24 | Fall risk = low
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Advantages of Tinetti | quick, can be performed almost anywhere, consistent correlation with the berg balance test, predictive validity
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Limitations of Tinetti | not sensitive to change
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Instrument measures fear of falling when performing IADLs and ADLs (short questionnaire) | Falls Efficacy (FES)
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Instrument measures balance confidence in older adults based on 16 activities | Activities-specific Balance Confidence (ABC) Scale
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Assessment that identifies person's risk for falling based on time spent standing from chair, walking, and returning to chair | TUG (TImed Get Up and Go)
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