STATION NO.

( )

AIM:

RISK ASSESSMENT OSCE STATION

DATA:

Those over 65 have the highest risk of falling with 30% >65s and 50% >80s
falling at least once a year. Falls can have a profoundly negative impact on
the quality of life of the elderly and their carers

TASK:

Highlight on fall risk assessments that require no specialized equipment or

training and can easily be completed at an established office visit.

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 OSCE Station Scoring Sheet
Station No.: Station Value: 10
Station Description: Falls risk Assessment station Possible Full Marks: 20
Candidate’s Name: A= Complete Answer
B= Partial Answer
Date: C= Not Attempted/Wrong
Expected Answers A B C Mr

1 Individual factors:
History of fall (how,where, when, how frequent, ……...) 3 1-2 0
Acute /Chronic conditions (Systems review/ Past Medical History:
Age related changes /Visual/hearing impairment, 1 0
General
Anaemia
Chest pain / Palpitations/ Angina/Cardiovascular 1 0
Cardiovasular
disease, Arrhythmias, orthostatic hypotension
1 0
Respiratoy SOB / Cough/ COPD
Loss of consciousness , Seizures,Motor or sensory 1 0
Neurological disturbance/ Parkinson’s disease, Peripheral
neuropathy, Stroke, Dementia, agitation, gait and poor
balance, reduced properioception
1 0
Psychological decrease problem solving and diminished coginative
skills, , depression, anxity, Fear of falling
Genitouriy Incontinence , Urgency ,Dysuria , incontinence 1 0
Abdominal pain ,Diarrhoea / Diverticulitis,Chronic
GIT 1 0
diarrhoea, Alcoholic liver disease , malnutrition
Musculoskeletal Joint pain ,Muscle weakness/ Arthritis, Fractures , 1 0
kyphosis, vit. D insuffsioncy
Movement impaired transfere and mobility , Use of aids , Footwear 1 0
Vision Seeing steps and obstacles , poor vision assessment 1 0
2 Enviromental factors / Social History:
Alcohol intake Support at home – friends/family and carers, 4 1-3 0
Assessment of home hazard and Indoor and Outdoor hazards
Medication review:
Diuretic , Diabetic medications (hypoglycaemia) , Antihypertensives 3 1-2 0
(hypotension) , overuse of (sedation, anticonvelcent, psychotrophic)
Antibiotics (intercurrent infection) , Polypharmacy
Final Mark: Station Value x Total Marks Total Mark
Possible Full Marks
Final Mark