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Table 1 Guidelines for intervention options for FLASSH study: falls risk minimisation

From: The FLASSH study: protocol for a randomised controlled trial evaluating falls prevention after stroke and two sub-studies

Risk factor Intervention options if risk factor identified
History of falls/falls injuries Referral to GP
Appropriate acute management if injury recent
Medications (number) Refer to GP for medication review
Medications (associated with increased falls risk) Refer to GP/specialist for medication review
Medical conditions (associated with increased falls risk) Refer to GP/specialist for review
Sensory loss: vision Brochure on lighting and home safety
Refer to optometrist
Refer to Ophthalmologist via GP
Refer to Vision Australia (includes mobility training and aids for visually impaired)
Refer to OT for home assessment
Refer to GP
Sensory loss: hearing Refer to audiologist
Sensory loss: somatosensory Refer to podiatrist
Refer to GP
Feet and footwear Refer to podiatrist
Provide information about good footwear and falls prevention
Cognitive status Refer to GP
Memory Clinic referral in consultation with GP if memory problems have not been investigated
Referral to OT for strategies to facilitate memory and/or home assessment
Continence Refer to GP
Continence clinic referral
Refer to physiotherapist
Refer for OT home assessment/functional assessment, including need for commode
Nutritional status Provide brochure on nutrition
Refer to dietician
GP referral
Environment Provide with information pamphlet on safety in the home
Refer for OT home assessment/functional assessment and training
Function Refer to OT for home assessment/functional assessment and training
Refer to Physiotherapist for assessment and exercise to improve function
Referral for support services
Functional behaviour Refer to physiotherapist, OT, GP
Balance Home exercise program
Referral to Physiotherapist
Referral for OT for a home assessment
Referral to GP for further investigation
Gait and physical activity Home exercise program
Referral to Physiotherapist
Referral for OT home assessment/functional assessment and training
Brochure on tips for walking
Osteoporosis risk Refer to GP for consideration of calcium and/or vitamin D supplements
Refer to dietician
Hip protectors
Additional options for preventing falls injury Hip protectors
Personal alarm
  1. GP: General practitioner
  2. OT: Occupational therapist