I'm Aoi Hashima , an occupational therapist working in Saga Sumai and Fukuoka.
Yesterday, I wrote an article about falling after a stroke.
"The Thing About Falling After a Stroke"
I'm Aoi Hashima , an occupational therapist who works in Saga Sumai and Fukuoka . After a stroke, some people may fall while walking. Also, I don't think some people fall while walking.
To prevent falls, it is important to understand the physical and mental condition of each patient and use a variety of checklists to prevent falls.
In our hospital, there is a checklist for patients who have just been hospitalized.
This is a score sheet called the "Fall/Fall Assessment Score Sheet," which is a sheet that scores each item and grasps the risk of falling. 
In addition to the motor function program, we also examine cognition and the type of medication you are taking.
Fall/Fall Assessment Score Sheets are prepared for each hospital in an easy-to-use format.
The scores for each item were added together to classify the risk of falls from I to III.
Falls can happen not only while walking, but also while sitting or trying to use the toilet.
Rehabilitation staff need to communicate with ward staff about the patient's physical condition and symptoms of higher brain energy, and contribute to fall prevention as a team.
Implications of using a fall assessment tool
The Fall Prevention Association's 2020 Recommendations describe the following definitions of fall assessment tools.
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From the perspective of nursing, we pay attention to the evaluation items, evaluate the risk of falls and falls of inpatients and residents of hospitals and nursing homes, and score, and comprehensively evaluate the risks according to the scores. lead to fall prevention.
The goal is to identify the risk of falls, predict falls, and prevent falls.
It's called a fall/fall assessment scale, etc., and is an indicator of fall risk management.
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Quote: Proposal for the Fall Assessment Tool
Based on the above recommendations, we believe that the significance of using a fall assessment tool is to make both health care workers and patients aware of the risk of falls and risk management.
I believe it is very difficult to completely avoid the possibility of falls, even with all precautions, measures taken to prevent falls.
By checking out the fall assessment tool, you can check the risk of falling, and in your day-to-day work, you may be more motivated to observe patients at high risk of falls and improve their surroundings.
Also, if possible, I think it's OK to confirm with the patient and do the recovery, taking care of the patient and the medical staff to prevent falls.
I want to face my daily clinical practice because I have a fall assessment tool somewhere in the back of my mind.
Citations/references
1) Japan Fall Society: Recommendations for Fall Assessment Tools. Journal of the Japanese Fall Society, Vol.7, No.3, 2021.
https://www.tentouyobou.jp/content/files/risuk%20assessment/20200725%20teigen%20risk%20assessment.pdf
2) Japan Nursing Association: Standard text for promoting medical safety. Published October 31, 2013.
https://www.nurse.or.jp/nursing/practice/anzen/pdf/text.pdf
3) Mizue Suzuki et al.: Seeking the latest Fall/Fall Risk Assessment Tool. Journal of the Japan Society for Fall Prevention Vol.5 No.1: 35-39 2018
https://www.jstage.jst.go.jp/article/tentouyoubou/5/1/5_35/_pdf
4) Yoichi Nakagawa et al: Causes of falls and falls in stroke patients in the multicenter Kaifukuki rehabilitation ward. Jpn J Rehabil Med 2010;47: 111.119
https://www.jstage.jst.go.jp/article/jjrmc/47/2/47_2_111/_pdf
5) Stroke Risk Assessment Form for Stroke Patients by the Medical Safety Committee of the Haifumu Rehabilitation Ward Association
http://www.rehabili.jp/reha_mem/index_img/tento_risk_sheet.pdf
6) Comparison of Japanese version of fall prediction assessment for stroke patients in Haifumu rehabilitation ward.
http://www.jsomt.jp/journal/pdf/067020100.pdf
,ﾟ.:｡+ﾟThank you for reading to the end,ﾟ.:｡+ﾟ
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This article was reprinted on September 14 , 2022 on Aoi Hashima's blog " Stroke Rehabilitation Longevity Consultation Center " .