1. Patient fell while toileting
2. Some medica­tions increased the risk of falling when combined with toileting.
3. Patient did not know, forgot or chose not to use call light.
4. Fall Prevention education given to patient and family was not used or consis­tent.
5. Patient is not aware or has not acknow­ledged a risk for fall.
6. Assessment tool is not a valid predictor of actual fall risk.
7. There is a variance in risk assessment ratings by different care givers.
8. Prescr­iptions are not accessed for risk of contri­buting to falls.
9. Incons­istent or incomplete commun­ication of patient risk for falls exist between caregi­vers.
10. Poor culture of standa­rdi­zation of practice and applic­ation of interv­ent­ions.

Delivering a monthly dose of vitamin D to homebound older adults not only boosted their vitamin D levels, but also lowered their rate of falls, according to a pilot study published in the online Journal of the American Geriatrics Society.

1. Positi­oning - Is the patient placed in a comfor­table position in their bed?
2. Potty - Does the patient need to use the washroom and is the pathway clear to the facility?
3.Pain - Is the patient in any sort of discomfort that may require movement or other assist­ance.
4. Placement - is the bed placed at a proper height, with rails up, the trash within reach, and any other needed items at arm's length.