Falls Prevention at Seven Months
| Patient | 79F, chronic phase |
|---|---|
| Lesion | PCA territory, minor |
| Severity | NIHSS 3 |
| Days since onset | 210 |
| Before the strokeLived alone independently, tended a large garden | |
| Also on the chartOsteoporosis; Mild postural hypotension | |
| PrecautionsFall risk during assessment itself; Sedating medication and visual field loss interact at night | |
Test yourself
Which falls plan addresses the actual causes here?
The teaching
Falls after stroke are multifactorial — assess every factor, not just balance (Verheyden 2013) Home-hazard modification and medication review are interventions, not afterthoughts (Gillespie 2012) Evening falls point at the intersection of vision, medication, and environment
Read next
The full sequence
This page carries the case’s first decision. The full sequence — every decision, the five-domain examination, and the debrief that grades you — is in the drill, and the library is included with membership.
Sources on this page: Verheyden 2013, Journal of Rehabilitation Medicine, interventions for preventing falls in people after stroke. Gillespie 2012, Cochrane Database of Systematic Reviews, interventions for preventing falls in older people