Table 2 ‘Aachen Falls Prevention Scale’
Part I | ||
|---|---|---|
Self-questionnaire (10 questions, one point per question answered ‘yes’, 10 points max.): | ||
Yes | no | |
Do you have problems with hearing or vision? | ||
Do you feel unsafe or have you been falling recently? | ||
Are you afraid of falling? | ||
1. Do you take medication for sleep, cardiac problems, diuretics, or sedatives? | ||
2. Do you loose urine or stool involuntarily? | ||
3. Do you have memory problems? | ||
4. Do you feel lonely at times and think that your life is without value? | ||
Do you use a walking aid on a regular basis? | ||
5. Do you suffer from Parkinson’s, Arthritis or Rheumatism? | ||
6. Are there many traps that might cause a fall in your home? | ||
Part II | ||
Self-Test with your partner | ||
Stand freely, do not lean or hold on anybody, measure the time until you have to do a corrective action with your arm, upper body or lower extremity. | ||
Standing test | ||
Successfully completed: 20 seconds or more | ||
Failed: less than 20 seconds | ||
Yes | no | |
Conclusion and self-assessment: | ||
How would you grade your falls risk on a scale of 1 to 10 (10 … max. risk)? | ||
If you score 5 points or worsening within the last weeks we recommend that you contact a physician for further assessment. | ||