FALLS SCENARIOS
1. Mrs. A is a 78 year old farmer’s wife that recently moved to your home. She has Alzheimer’s
and is visited by her husband often. Her medical history shows HTN, Arthritis, Alzheimer’s and
urinary frequency. Her medications are Lisinopril, HCTZ, and Seroquel. She has had issues of
stability and falls frequently. Her husband is unable to care for her at home. She was always
very well groomed and kept her home tidy. She wears glasses but not had any vision check in
years. She enjoys baking and listening to country music.
RISK FACTORS
INTERVENTIONS
Hypertension
Medication/Pharmacy review – DNA testing
Arthritis
Verbal cues
Alzheimer’s
B & B Program
Urinary Frequency
Needs routine similar to home
Balance issues
Involve husband in care
Recent move/environment change
Well lit room / nightlights / glow in dark toilet seat
Medication Risks – Seroquel
Cooking activities
Frequent falls and instability
Familiar items in room
Vision
PT/ST/OT/Bone density
Impaired cognition
Music & Memory
Age
Clutter free room
Routine use of diuretic
Needs vision check - Optometrist
Gait – problems standing & walking
Toilet program-check for UTI
Root Cause Analysis for Falls
Change times diuretic given
Baking activity
Hourly rounds to see her
Make sure room is tidy & she is well groomed
Tai chi for balance
Hip protectors
Assistive Device for stability
Check shoes for correct fit
Hearing exam
