Get Cdc Checklist Fall Risk Factors 2017-2025

The CDC Checklist Fall Risk Factors is an essential tool designed to assess potential fall risks in individuals. Completing this form online can help identify key areas that need attention to ensure safety and well-being.

Follow the steps to complete the form accurately and efficiently.

1. Click ‘Get Form’ button to access the material and open it for editing.
2. Begin by filling in the date and time of the assessment. You can specify whether it is AM or PM to provide clarity.
3. Proceed to the 'Falls History' section. Indicate if any falls have occurred in the past year by selecting 'Yes' or 'No' as applicable.
4. Answer the questions about worries regarding falling and feelings of unsteadiness when standing or walking. Again, choose 'Yes' or 'No' for each question.
5. In the 'Medical Conditions' section, check off any relevant medical issues that may pertain to fall risk such as heart rate problems, cognitive impairment, and more.
6. Next, navigate to the 'Medications' section. Select 'Yes' or 'No' for any prescribed or over-the-counter medications that could contribute to fall risk.
7. Evaluate the performance in strength and balance by responding to the Timed Up and Go (TUG) Test and other tests indicated on the form with 'Yes' or 'No'.
8. Review the 'Vision' section and indicate if there are any concerns regarding eyesight, such as reduced acuity or lack of recent eye exams.
9. Complete the section on postural hypotension, providing information about blood pressure changes and any associated symptoms.
10. If there are any other risk factors, specify them in the designated area provided at the end of the form.
11. Upon completing all sections, ensure to save your changes. You may also choose to download, print, or share the completed form as needed.

Get started on completing your CDC Checklist Fall Risk Factors online today!