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Meals-on-Wheels Falls Risk Assessment Program


Meals-on-Wheels Falls Risk Assessment Program

Wake Forest University School of Medicine
Jamehl Demons, MD
Donald W. Reynolds Foundation
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Falls in older adults have significant outcomes including injury, isolation due to the fear of falling, and an increase in morbidity and mortality. In this mandatory experience for third-year medical students rotating through Geriatrics, the student accompanies an assessor for the local Meals-on-Wheels (MOW) program to evaluate homebound seniors for their fall risk. The student obtains subjective and objective information including the number of falls, medications, visual acuity (using Snellen vision chart), cognition (using the Mini-Cog assessment instrument), and physical function. The student then determines the client's risk of falls as indicated by assigned readings and resources on falls prevention guidelines and the Beers List. The information obtained by the student is discussed and turned in at the wrap-up meeting with a faculty member at the end of the weeklong Geriatrics rotation.

Educational objectives: 

1. To perform a falls risk assessment of a community-based older adult

2.  To practice clinical skills in the geriatric competencies of medication management, cognitive and behavioral disorders, self care capacity, and falls/balance/gait disorders

3.  To integrate knowledge and data from a variety of sources into a comprehensive assessment

4.  To provide an effective educational intervention for clinical students in Geriatrics in the face of limited faculty time

Additional information/Special implementation requirements or guidelines: 
Content Categories: 
Intended learner audience: 
Learning resource types: 
Estimated time to complete: 
More than 3 hours
Conflict of Interest Disclosure: 
No, I (we) have nothing to disclose.
Already Expired Email Date: 
Wednesday, February 28, 2018 - 1:57pm
Already Expired Email 1 month date: 
Friday, March 16, 2018 - 12:35am
Expired Email Date: 
Saturday, March 31, 2018 - 2:23am
Contact Person/Corresponding Author:
Janice S. Lawlor

Suggested Citation:
Jamehl L. Demons; Brooke R. Davis; Jeff D. Williamson; Kathryn E. Callahan; Hal H. Atkinson. Meals-on-Wheels Falls Risk Assessment Program. POGOe - Portal of Geriatrics Online Education; 2013 Available from: