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Falls prevention referral — DGM MCQ

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ModerateFallsFalls prevention referralDGM

An 86-year-old woman has fallen twice in the past month and now avoids leaving home. She has no syncope, no fracture and normal neurological examination. She walks slowly, struggles to rise from a chair and lives alone in a house with loose rugs. What is the most appropriate referral?

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Correct answer: C — Multifactorial falls service or community falls team

Recurrent falls, fear of falling and environmental hazards warrant referral for multifactorial falls assessment and targeted intervention. A memory clinic may be useful if cognitive symptoms emerge, but the current problem is mobility and falls risk. Evidence-based falls care includes strength and balance training, medication review and home hazard modification.

Reference: NICE NG249