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Care home falls assessment — DGM MCQ

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ModerateFallsCare home falls assessmentDGM

A 91-year-old woman in a residential home falls while walking to the dining room. She has dementia and arthritis and uses a frame inconsistently. No injury is found, but staff report three similar episodes this month. Current medicines include quetiapine, bendroflumethiazide and paracetamol. What is the most appropriate assessment?

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Correct answer: E — Care-home multifactorial falls assessment

Recurrent falls in residential care require multifactorial assessment including mobility, medicines, environment, continence and cognition. Lack of witness does not remove the need for review; MRI, bedrails and catheterisation are not first-line falls prevention. The 2025 NICE falls guideline explicitly includes residential care settings.

Reference: NICE NG249