Get Appendix A: Ddds Fall Risk Assessment Tool - Dhss Delaware

Filling out the Appendix A: DDDS Fall Risk Assessment Tool is a crucial step in assessing fall risk for individuals. This guide provides clear instructions for accurately completing the form online, ensuring that users can navigate each section with confidence.

Follow the steps to complete the assessment tool effectively.

1. Click the ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by filling in the MCI section, which requires the individual's name, address, and date of birth. This information is essential for identifying the person being assessed.
3. Next, in the Points section, mark the appropriate response for Age based on the specified age ranges. This will help determine the risk level.
4. Proceed to the Mental Status section, selecting the option that best describes the individual's current state, such as being oriented and cooperative or confused.
5. In the Physical Status category, indicate the individual's physical condition by selecting the corresponding response, which ranges from 'well' to 'cachexia, wasting'.
6. Complete the Elimination section by identifying the individual's independence status regarding elimination needs, ranging from independent and continent to requiring assistance.
7. In the Sensory section, assess the individual's vision and hearing capabilities and select the appropriate option.
8. For the Neuromotor category, indicate if the individual experiences paralysis or spasticity, choosing from the available options based on the affected regions.
9. Evaluate the individual's Gait, marking whether they are unable to walk/stand, physically unable to walk/stand, require assistance, or have balance problems.
10. Explore the Fall History section, reporting any falls in the past six months that the individual may have experienced, from none to multiple falls.
11. In the Medications section, list any medications the individual is currently taking, categorizing them based on the specified amount.
12. Calculate the subtotal points based on all marked responses and record the total score. This will help assess the fall risk level (low, moderate, or high).
13. Finally, ensure that the form is signed by the nurse and enter the date. At this stage, users can save changes, download, print, or share the completed form.

Start filling out the Appendix A: DDDS Fall Risk Assessment Tool online today to ensure a thorough assessment!