@article{ref1,
title="Shared-medical appointment for screening and risk assessment for fall prevention",
journal="Gerontology and geriatric medicine",
year="2023",
author="Moran, Ryan and Ramirez, Michelle and Woods, Gina and Hofflich, Heather and Wing Ms, David and Nichols, Jeanne",
volume="9",
number="",
pages="e23337214231186460-e23337214231186460",
abstract="BACKGROUND: The median age of Americans is rising and fall risk increases with age. While the causes of falls are multifactorial, falls risk can be reduced. Only a small percentage of older-adults report being asked about fall risk or falls. The CDC has initiated a Stopping Elderly Accidents, Deaths and Injuries (STEADI) toolkit, but penetration into practice has been slow. To address this, we implemented a Falls Prevention Shared Medical Appointment (SMA) at an academic internal medicine clinic. <br><br>METHODS: Patients were referred to the SMA and scheduled per their preference virtually or in-person. Patients attended a nurse visit for appropriate fallrisk related screening, followed by the SMA with two physicians for review of medical history, fall screening results and implementation of fall reduction strategies. Follow-up survey of the patients assessed program effectiveness. <br><br>RESULTS: Fifty-two patients were seen/assessed between November 2021 and February 2023 with SMAs ranging from 3 to 5 patients with an average age of 77 (=/- 6.7). Questionnaire self-reported risk factors, self-reported strength, and polypharmacy were associated with objective markers of increased fall risk. Survey results indicate acceptability of this model. <br><br>CONCLUSION: Falls prevention SMAs can be effective. More work is needed to further delineate and refine cohort selection.<p /> <p>Language: en</p>",
language="en",
issn="2333-7214",
doi="10.1177/23337214231186460",
url="http://dx.doi.org/10.1177/23337214231186460"
}