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Predicting Patient Falls

Hendrich, Ann MSN, RN, FAAN

AJN, American Journal of Nursing: November 2007 - Volume 107 - Issue 11 - p 50–58
doi: 10.1097/01.NAJ.0000298062.27349.8e
FEATURE: How To try this
Videos

Overview: The Hendrich II Fall Risk Model is used to assess a hospitalized patient's risk of falling. Designed to be administered quickly, it focuses on eight independent risk factors: confusion, disorientation, and impulsivity; symptomatic depression; altered elimination; dizziness or vertigo; male sex; administration of antiepileptics (or changes in dosage or cessation); administration of benzodiazepines; and poor performance in rising from a seated position in the Get-Up-and-Go test. (This screening tool is included in a series, Try This: Best Practices in Nursing Care to Older Adults, from the Hartford Institute for Geriatric Nursing at New York University's College of Nursing.) For a free online video demonstrating the use of this tool, go to http://links.lww.com/A111.

The author discusses the Hendrich II Fall Risk Model, widely used in determining a hospitalized patient's risk of falling.

Ann Hendrich is vice president of clinical excellence operations at Ascension Health in St. Louis.

Contact author: ahendrich@ascensionhealth.org. Hendrich was awarded a 2007 patent for the method and system for assessing fall risk that are discussed in this article.

How to Try This is a three-year project funded by a grant from the John A. Hartford Foundation to the Hartford Institute for Geriatric Nursing at New York University's College of Nursing in collaboration with AJN. This initiative promotes the Hartford Institute's geriatric assessment tools, Try This: Best Practices in Nursing Care to Older Adults: www.hartfordign.org/trythis. The series will include articles and corresponding videos, all of which will be available for free online at www.nursingcenter.com/AJNolderadults. Nancy A. Stotts, EdD, RN, FAAN (nancy.stotts@nursing.ucsf.edu), and Sherry A. Greenberg, MSN, APRN, BC, GNP (sherry@familygreenberg.com), are coeditors of the print series. The articles and videos are to be used for educational purposes only.

Routine use of a Try This tool may require formal review and approval by your employer.

Using the Hendrich II Fall Risk Model in clinical practice.

© 2007 Lippincott Williams & Wilkins, Inc.