The Falls Risk Assessment Tool

Topics: Risk, Frat Pack, Risk assessment Pages: 6 (819 words) Published: March 25, 2014


Developed by: Peninsula Health
Format: Assessment tool and Instructions for use
Availability: Download FRAT
Download Instructions for use

The Falls Risk Assessment Tool (FRAT) was developed by the Peninsula Health Falls Prevention Service for a DH funded project in 1999, and is part of the FRAT Pack. A study evaluating the reliability and validity of the FRAT has been published (Stapleton C, Hough P, Bull K, Hill K, Greenwood K, Oldmeadow L (2009). A 4-item falls-risk screening tool for sub-acute and residential care: The first step in falls prevention. Australasian Journal on Ageing 28(3): 139-143). The FRAT has been distributed to approximately 400 agencies world wide.

The FRAT has three sections: Part 1 - falls risk status; Part 2 – risk factor checklist; and Part 3 – action plan. The complete tool (including instructions for use) is a complete falls risk assessment tool. However, Part 1 can be used as a falls risk screen. An abbreviated version of the instructions for use has been included on this website. For a complete copy of the instructions for use please refer to the FRAT Pack or contact the Peninsula Health Falls Prevention Service, telephone (61 3) 9788 1260.

The FRAT is a validated tool, therefore changes to Part 1 of the tool are not recommended.

Please note: The cognitive status question in Part 1 on the FRAT refers to the Abbreviated Mental Test Score (AMTS). This resource is available at http://anzsgm.org/vgmtp/Dementia/cognitive_screening_tests.htm (please note: this will take you out of the Department of Health website).

In 2009 the Department of Health funded Northern Health, in conjunction with National Ageing Research Institute, to review falls prevention resources for the Department of Health’s website. The materials used as the basis of this generic resource were developed by Peninsula Health under a Service Agreement with the Department of Human Services, now the Department of Health. Other resources to maintain health and wellbeing of older people are available from www.health.vic.gov.au/agedcare Working together to prevent falls

FALLS RISK
ASSESSMENT TOOL
(FRAT)

UR NUMBER ……………………………………………. SURNAME ………………………………………………… GIVEN NAMES……………………………………………. DATE OF BIRTH ………………………………………….

Please fill in if no patient/resident label available
(see instructions for completion of FRAT in the FRAT PACK-Falls Resource Manual)

PART 1: FALL RISK STATUS
RISK FACTOR
LEVEL
RISK SCORE
RECENT FALLS
none in last 12 months……………………………………… 2
(To score this, complete history of falls, overleaf)
one or more between 3 and 12 months ago………………. 4

one or more in last 3 months………………………………. 6

one or more in last 3 months whilst inpatient / resident…. 8
MEDICATIONS
not taking any of these……………………………………… 1
(Sedatives, Anti-Depressants
taking one …………………………………………….……… 2
Anti-Parkinson’s, Diuretics
taking two ……………………………………………………. 3
Anti-hypertensives, hypnotics)
taking more than two……………………………………….. 4
PSYCHOLOGICAL
does not appear to have any of these…………………….. 1
(Anxiety, Depression
appears mildly affected by one or more…………………... 2
Cooperation, Insight or
appears moderately affected by one or more…………….
3
Judgement esp. re mobility )
appears severely affected by one or more……………….. 4
COGNITIVE STATUS
AMTS 9 or 10 / 10 OR intact…………………….….… 1

AMTS 7-8 mildly impaired……….…….… 2
(AMTS: Hodkinson Abbreviated
AMTS 5-6 mod impaired…………..….… 3
Mental Test Score)
AMTS 4 or less severely impaired ……..….… 4

(Low Risk: 5-11 Medium: Risk: 12-15 High Risk: 16-20) RISK SCORE

/20

Automatic High Risk Status: (if ticked then circle HIGH risk below)  Recent change in functional status and / or medications affecting safe mobility (or anticipated)  Dizziness / postural...
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