Screen: The client has had a fall in the last 6 months
The client is observed to be unsteady
The client is using a non-prescribed mobility aid
The client has a pre-existing neurological disorder that affects balance, or uses a mobility aid and has not been reviewed in the last 12 months
The client is visually impaired
The client requires supervision or assistance with transfers or ADL
The client has new onset or increased confusion / delirium
The client is usually confused
The client has new onset or existing incontinence
The client is on one of the following medications: antihypertensive, antidepressant, sedative, benzodiazepine, antipsychotic
The client is on more than 4 medications
The client reports postural symptoms (e.g. regular dizziness, light headedness, recent history of syncope)
The client has a minimal trauma fracture and / or history of osteoporosis