An older person’s difficulty walking or fear of another fall can affect daily independence and the whole family’s care arrangements. A consultation looks at the wider context rather than treating a fall as an isolated event.
Describe the change, not just the injury
Tell the clinician about falls and near-falls, when they happened, what the person was doing and how walking has changed. Information about dizziness, footwear, vision, medicines, recent illness and support at home can help guide the assessment.
- The date and circumstances of each recent fall
- Any injury, blackout or new symptoms around the event
- A current medicine list and relevant hospital records
- Changes in walking aids, stairs or everyday activities
Assessment tailored to the findings
The physician considers medical conditions, medicines, mobility, nutrition and daily function. Further examination, investigations or allied-health support are chosen according to the individual findings. Physiotherapy and nutrition support may form part of a coordinated plan when appropriate.
Make practical priorities clear
The discussion should help the patient and family understand which concerns need attention, what support may be useful and when review is needed. Tell the clinician about the home environment and the activities the patient most wants to maintain. No single exercise programme or investigation is suitable for everyone.
Routine assessment and urgent care
This page describes a routine clinic service. A serious injury, loss of consciousness, sudden weakness or sudden confusion needs urgent medical assessment. Do not delay emergency care to book a falls clinic appointment.