Pighills, Alison, Drummond, Avril, Crossland, Shelley, and Torgerson, David J. (2019) What type of environmental assessment and modification prevents falls in community dwelling older people? BMJ, 364 (8191). l880.

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Abstract

• Evidence suggests that environmental interventions can prevent falls in older people at high risk of falls, but they have little or no benefit in people at low risk • Offer environmental assessment and modification led by an occupational therapist to people over 65 who have had a fall in the past year, use a mobility aid, need assistance with any activities of daily living, take psychoactive medications, or are concerned about falling • Environmental assessment and modification encompasses a comprehensive, validated functional assessment of the individual in their home environment, a joint problem solving approach, and follow-up as required

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