Non modifiable |
Age |
✓ |
✓ |
✓ |
✓ |
✓ |
Cognitive impairment/delirium |
✓ |
✓ |
✓ |
|
✓ |
Illness severity |
✓ |
|
|
✓ |
✓ |
Co‐morbidity |
✓ |
✓ |
✓ (stroke) |
✓ |
✓ |
Fracture at presentation |
✓ |
|
|
✓ |
|
Previous fall |
|
✓ |
|
✓ |
|
Modifiable Patient‐related factors |
Visual impairment/not wearing glasses |
✓ |
✓ |
|
|
✓ |
Hearing impairment |
Evidence gap |
|
|
|
✓ |
Polypharmacy |
✓ |
✓ |
|
|
✓ |
Benzodiazepines |
✓ |
✓ |
✓ |
✓ |
✓ |
Anticholinergic drugs |
✓ |
✓ |
|
|
|
Opiates |
✓ |
|
|
✓ |
✓ |
Antihypertensives |
(dihydropyridines) ✓ |
✓ |
✓ (diuretics) |
|
|
Diuretics |
|
✓ |
✓ |
|
|
Psychotropic drugs |
|
✓ |
|
✓ |
|
High fluid intake |
|
|
✓ |
|
|
Dehydration |
✓ |
|
|
|
|
Electrolyte disturbance |
✓ |
|
|
|
|
Depression |
Evidence gap |
|
|
✓ |
✓ |
Infection |
✓ |
|
✓ (UTI) |
✓ |
|
Incontinence |
Evidence gap |
✓ |
|
|
|
Bladder catheter |
✓ |
✓ |
✓ |
✓ |
✓ |
Urinary retention |
✓ |
|
✓ |
|
|
Pain |
✓ |
|
✓ |
✓ |
✓ |
Low BMI/poor nutritional intake |
|
|
|
✓ |
✓ |
Footwear |
|
✓ |
|
|
|
Mobility problems |
|
✓ |
✓ |
✓ |
✓ |
Balance problems |
|
✓ |
|
✓ |
✓ |
Syncope |
|
✓ |
|
|
|
Modifiable – due to ward culture |
|
|
|
|
|
|
Caffeinated drinks |
|
|
✓ |
|
|
Physical or chemical restraints |
✓ |
|
✓ |
✓ |
✓ |
Drips, lines, monitors |
✓ |
✓ |
✓ |
✓ |
✓ |
Sleep disturbance |
✓ |
|
|
✓ |
|
Prolonged bed rest |
|
|
✓ |
✓ |
✓ |
Lack of correct walking aid |
|
✓ |
✓ |
✓ |
✓ |
Modifiable – time/resource dependent |
Delays to answering call bells |
|
✓ |
✓ |
✓ |
|
Room changes |
✓ |
|
|
|
|
Modifiable – environmental factors |
Isolation |
|
|
|
✓ |
✓ |
No clock or watch |
✓ |
|
|
|
|
Incorrect equipment (chairs, walkers) |
|
✓ |
|
✓ |
✓ |
Hard to modify – environment (estates) |
Flooring |
|
✓ |
|
✓ |
|
Lighting |
✓ |
✓ |
|
|
|
Furniture and fittings |
|
✓ |
✓ |
✓ |
✓ |
Unfamiliar environment |
✓ |
✓ |
✓ |
✓ |
✓ |