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Post Stroke Complications - The Stroke Network of Southeastern ...

Post Stroke Complications - The Stroke Network of Southeastern ...

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STRATIFYScore 1 point for each <strong>of</strong>the following thatapplies:1. Fall is presenting c/o2. Unstable gait3. Agitation present4. Frequent toileting5. Visual disturbanceScore <strong>of</strong> > 2 indicateshigh risk <strong>of</strong> fallTIMED UP AND GOMeasurees physicalmobility in ambulatoryfrail elderlyPatient is timed gettingup from chair, walking3 meters, turning,walking back to chair,and sitting down againMay use aids (cane,walker) but no staffassist.Resource – BPG: Prevention <strong>of</strong> Falls & Injury in the Older Adult

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