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Description

Determination of the patient’s goal before the fall. Why did they get up or try to get up?

On-Screen Instructions

Select all that apply.

Field Type

Checkbox (multiselect)

Responses

  • Relieve hunger or thirst

  • Adjust controls in the environment (e.g., TV volume, heat)

  • Change location (e.g., move to another room, different chair)

  • Exercise (e.g., PT/OT)

  • Retrieve a personal item (e.g., TV remote, cigarettes, clothing, medication)

  • Return to bed or chair

  • Toileting

  • Unknown

  • Other (please describe)

Guide for Use

If “Other” is selected, a text box for a description will also appear.

History

Start Date

January 2016

End Date

n/a

Change History

n/a

Field Name

fall_goal

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