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IMPROVING MEMBERS QUALITY OF LIFE
Discuss risk factors for falls. Age, lack of physical activity, misuse of Please follow up with your patients who bring in this HOS checklist.
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Falls Risk Checklist
The purpose of this form is to assess an individuals risk for falling. A falls risk assessment is completed upon admission to services, after any change in
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Checklist Fall Risk Factors
Problems with heart rate and/or arrhythmia. Yes. No. Cognitive impairment. Yes. No. Incontinence. Yes. No. Depression. Yes.
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