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Alcohol-related falls — DGM MCQ

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HardFallsAlcohol-related fallsDGM

A 75-year-old man has fallen twice in the evening and has bruising at different stages. He drinks whisky nightly and has poor nutrition. Examination shows peripheral neuropathy and an unsteady broad-based gait. Current medicines include omeprazole. What is the most appropriate assessment?

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Correct answer: D — Alcohol use, nutrition and neuropathy assessment within falls review

Alcohol excess, malnutrition and neuropathy are plausible interacting causes of recurrent falls and should be assessed directly. Avoiding alcohol enquiry misses a modifiable risk; diazepam increases falls, hip replacement is not indicated, and asymptomatic bacteriuria should not be presumed. Falls assessment should include substance use and safeguarding concerns when bruising patterns raise concern.

Reference: NICE NG249; NICE alcohol-use disorders guidance