What Is a Fall Risk Assessment?
A fall risk assessment is a short evaluation done by your healthcare provider to check your risk of falling. It helps identify things that might make you more likely to fall—so that you and your healthcare team can take steps to prevent future falls and keep you safe and independent.
Who Should Get One?
You may benefit from a fall risk assessment if you:
- Are 65 or older
- Have fallen in the past year
- Feel unsteady when walking
- Need help getting up from a chair or bed
- Take medications that affect balance
- Use a cane, walker, or other support
Even if you’ve never had a fall, it’s still a good idea to ask about a fall risk check during your annual wellness visit.
What Happens During a Fall Risk Assessment?
Your provider may:
📋 Ask Questions About Your Health
- Have you fallen in the past year?
- Do you ever feel dizzy or unsteady?
- Are you taking medications that make you drowsy?
- Do you have vision or hearing problems?
- Do you use a walker or cane?
🚶 Watch How You Move
- Gait and balance test – You may be asked to walk a short distance so your provider can observe your balance and posture.
- Timed Up and Go (TUG) test – You’ll be timed as you stand from a chair, walk a few feet, turn, and sit back down in the chair.
- Strength and flexibility checks – You might be asked to do a few gentle movements to check your leg strength or ability to reach and bend.
🧠 Check Thinking and Vision
- They may check your memory, reaction time, hearing, or vision, since these all play a role in staying safe on your feet.
What Happens After the Assessment?
If you're found to be at higher risk for falling, your provider may recommend:
✅ Balance or strength-building exercises
✅ Physical therapy
✅ Medication review to reduce side effects
✅ Home safety changes (like adding grab bars or removing loose rugs)
✅ Assistive devices like a cane or walker
✅ Referrals to specialists (e.g., audiologist, vision care, or occupational therapy)
Why It Matters
Falls can lead to broken bones, hospital visits, or long recovery times—but most falls can be prevented with a little planning. A fall risk assessment gives you the tools to stay active, confident, and independent.
Questions to Ask Your Doctor
- Should I have a fall risk assessment?
- What’s making me more likely to fall?
- Are any of my medications increasing my risk of falling?
- What exercises or programs can help my balance?
- Can you help me find home safety support or resources?
- Always ask your healthcare provider for specific advice on when to call to report symptoms, and when to seek urgent/emergency care.
Take Charge of Your Safety
You deserve to feel safe and steady at home and in your community. Fall risk assessments are a simple, helpful way to protect your health and independence.
Sources:
- UpToDate