A Frail, 93-Year-Old Woman with Mild Dementia Enters a Nursing

question 49

Multiple Choice

A frail, 93-year-old woman with mild dementia enters a nursing home due to difficulty managing on her own.  She has recently had several falls, including one during the night while getting out of bed to use the bathroom.  The patient attributes this fall to "clumsiness."  Syncope workup is unremarkable for any abnormalities.  She has a medical history of hypertension, osteoarthritis, depression, and anxiety.  Her medications include amlodipine, sertraline, aripiprazole, and amitriptyline.  Which of the following is the most effective strategy for decreasing this patient's fall risk?

• A)Bed rails
• B)Cane
• C)Medication review
• D)Soft restraints
• E)Walker