Hendrich II Fall Risk Model

Confusion, Disorientation, Impulsivity

Patient lacks understanding of their limitations.

Symptomatic Depression

Tearful, withdrawn, or has diagnosis.

Altered Elimination

Incontinence, nocturia, frequent toileting.

Dizziness or Vertigo

Subjective report or observed swaying.

Male Gender

Statistical risk factor in acute care.

Any Prescribed Antiepileptics

e.g., phenytoin, gabapentin, levetiracetam.

Any Prescribed Benzodiazepines

e.g., lorazepam, diazepam, temazepam.

Get Up & Go Test

Observe patient rising from a chair.