A Multidimensional Approach for Nurse Practitioners to Screen Fall Risk and Fear of Falling in Community-Dwelling Older Adults

Published:September 13, 2022DOI:


      • Fear of falling contributes to fall risk.
      • Maladaptive fall risk is a difference in the physiological and the perceived risk of falls.
      • The FES-I, CDC STEADI, and BTrackS tools have minimal time requirements for fall risk assessment.


      Nurse practitioners are essential in the care of the older adult population. Older adults are at high risk for falls; therefore, nursing assessment should include psychological and physiological measures. Fear of falling is a primary psychological contributor to fall risk. The Falls Efficacy Scale International short; Centers for Disease Control and Prevention Stopping Elderly Accidents, Deaths, and Injuries fall risk scale; and Balance Tracking System (BTrackS) balance test are reliable, efficient tools for assessment. Data obtained from these multifactoral tools may inform mobility interventions and education for the patient, further meeting a national safety goal of reducing falls in the older adult population.


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      Aleatha Rossler, MS. is a PhD student at the University of Central Florida, Orlando, FL and can be contacted at [email protected] .


      Jenna M. Wheeler, BSN is a PhD student at the University of Central Florida, Orlando, FL.


      Ladda Thiamwong, PhD is an associate professor in the College of Nursing at the University of Central Florida, Orlando, FL.