ModuleDraft

Internist module: Falls and fracture prevention after stroke (outpatient bundle)

Outpatient falls + fracture prevention bundle for stroke survivors: rapid falls-risk screen, orthostasis/vision/meds review, PT/OT referral loop closure, caregiver transfer training, and documentation templates.

ClinicianClinicianIntermediate20 minClinical (pro)

Educational only

Educational only — apply individualized fall-risk and bone-health evaluation per patient context.

Get help now

For head strike on anticoagulation, severe pain, or new neuro deficits, seek emergent evaluation.

Key takeaways

  • Implement a practical falls-risk screen at each visit
  • Identify modifiable contributors (orthostasis, meds, vision, home hazards)
  • Build a referral and follow-up plan to reduce falls and injury

Risk screen

  • Falls history
  • Orthostasis
  • Vision
  • Footwear/DME

Medication review

  • Sedatives
  • BP meds timing
  • Polypharmacy

Interventions

  • PT
  • Home safety
  • Bone health

Practice check

What you’ll practice

These questions are untimed. After you answer all of them, you’ll see your score and a clear next lesson or reference step.

0 of 2 answered

Question 1

1. Falls risk assessment is part of secondary prevention because injuries and head trauma are amplified by antithrombotic therapy.

Question 2

2. A high-yield screening question is…

References

  1. Tier 1
    AHA/ASA 2016 Stroke Rehabilitation & Recovery Guideline
  2. Tier 1
    NICE NG236 Stroke rehabilitation in adults (2023)
  3. Tier 2
    Canadian Stroke Best Practices: Falls prevention