ARCHETYPE Falls Risk Assessment Scale (Dudley Group NHSFT) (openEHR-EHR-OBSERVATION.frase_dudley.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.frase_dudley.v0
ConceptFalls Risk Assessment Scale (Dudley Group NHSFT)
DescriptionA falls risk assessment tool used in Dudley Group NHS Foundation Trust, based on Cannard's Falls Risk Assessment Scale for the Elderly (FRASE) tool.
UseUse to record a falls risk assessment using the Dudley Group NHS Foundation Trust Falls Risk Assessment Scale tool.
PurposeTo record a falls risk assessment using the Dudley Group NHS Foundation Trust Falls Risk Assessment Scale tool.
References[Internet]. The Dudley Group NHS Foundation Trust. 2021 [cited 2021 May 10]. Available from: http://www.dgft.nhs.uk/wp-content/uploads/2014/02/011391.pdf .
Copyright© Apperta Foundation
AuthorsAuthor name: Heidi Koikkalainen
Organisation: freshEHR Clinical Informatics, UK
Email: heidi@freshehr.com
Date originally authored: 2021-05-10
Other Details LanguageAuthor name: Heidi Koikkalainen
Organisation: freshEHR Clinical Informatics, UK
Email: heidi@freshehr.com
Date originally authored: 2021-05-10
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=Apperta UK, references=[Internet]. The Dudley Group NHS Foundation Trust. 2021 [cited 2021 May 10]. Available from: http://www.dgft.nhs.uk/wp-content/uploads/2014/02/011391.pdf ., current_contact=Heidi Koikkalainen, heidi@freshehr.com, original_namespace=uk.org.clinicalmodels, original_publisher=Apperta UK, custodian_namespace=uk.org.clinicalmodels, MD5-CAM-1.0.1=56A2E96B115BB492E685FBD62B36630E, build_uid=22ad665c-1d6c-43ec-ae71-f824c181e650, revision=0.0.1-alpha}
Keywordsrisk, fall, balance, gait, mobility
Lifecyclein_development
UIDff9f1bc7-9f85-4634-b71a-a7f7f1aa80d4
Language useden
Citeable Identifier1051.32.1127
Revision Number0.0.1-alpha
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2: Female [The individual is female.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Age, description=The age range of the individual., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: 60-70 [The individual is aged between 60-70.]
2: 71-80 [The individual is aged between 71-80.]
3: 80+ [The individual is aged over 80.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0013], code=at0013, itemType=ELEMENT, level=4, text=Gait, description=The gait of the individual., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Steady [The individual's gait is steady.]
1: Hesitant [The individual is hesitant in initiating movement.]
3: Poor transfer [The individual requires help with transfers, i.e. getting in or out of bed, getting on or off a chair, and moving from chair to standing.]
3: Unsteady [The individual's gait is unsteady.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0018], code=at0018, itemType=ELEMENT, level=4, text=Sensory deficit, description=The sensory deficit(s) of the individual., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=2: Sight [The individual has a sight deficit.]
1: Hearing [The individual has a hearing deficit.]
2: Balance [The individual has a balance deficit.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0022], code=at0022, itemType=ELEMENT, level=4, text=Fall history, description=The individual's history of falls in the last 12 months., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: None [The individual has not had any falls in the last 12 months.]
2: At home [The individual has had a fall at home in the last 12 months.]
1: In ward [The individual has had a fall in the ward in the last 12 months.]
3: Both [The individual has had a fall both at home and in the ward in the last 12 months.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0027], code=at0027, itemType=ELEMENT, level=4, text=Medication, description=Medication associated with falls risk., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: Hypnotics [The individual takes hypnotics.]
1: Tranquillizers [The individual takes tranquillizers.]
1: Hypotensives [The individual takes hypotensives.]
1: Drug/alcohol withdrawal [The indication takes medication for drug/alcohol withdrawal.]
1: Parkinsons drugs [The individual takes Parkinsons drugs.]
1: Diuretics [The individual takes diuretics.]
1: Long term steroid use [The individual uses long term steroids.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0031], code=at0031, itemType=ELEMENT, level=4, text=Medical history, description=Medical conditions associated with falls risk., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: Diabetes (neuropathy, sensory, eyesight) [The individual has diabetes.]
1: Peripheral Vascular Disease (PVD) [The individual has Peripheral Vascular Disease.]
3: Organic (Stroke/CVA, Parkinsons, dementia) [The individual has an organic brain disease (Stroke/CVA, Parkinsons, dementia).]
2: Amputation/Prosthesis [The individual has had an amputation.]
1: Seizures, convulsions [The individual has seizures or convulsions.]
1: Acute Confusion [The individual has episodes of acute confusion.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0034], code=at0034, itemType=ELEMENT, level=4, text=Mobility, description=The level of mobility of the individual., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: Fully [The individual is fully mobile.]
2: Restless/Fidgety [The individual is restless/fidgety.]
1: Apathetic (Reluctant to move/Fear of falling) [The individual is apathetic, i.e. reluctant to move and has a fear of falling.]
3: Restricted (Restricted by severe pain or disease) [The individual's mobility is restricted by severe pain or disease.]
1: Bed Bound (Unconscious or sedated/unable to change position/Traction/cast) [The individual is bed bound.]
1: Chair Bound (e.g. Wheelchair) [The individual is chair bound, e.g. in a wheelchair.]
2: Uses Mobility Aid [The individual uses a mobility aid.]
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  • Low risk [Overall score 3-8; low falls risk.]
  • Medium risk [Overall score 9-12; medium falls risk.]
  • High risk [Overall score 13+; high falls risk.]
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