To implement a multifactorial intervention program to prevent falls in elderly patients, first conduct a comprehensive, individualized falls risk assessment for those at risk, which should include evaluation of fall history, gait, balance, mobility, muscle weakness, osteoporosis risk, visual and cognitive impairments, urinary incontinence, home hazards, and medication review NICE CG161.
Based on the assessment, develop a tailored intervention plan that addresses identified risk factors, such as strength and balance training for those with gait and balance deficits, home hazard assessment and modifications, vision assessment and referral, and medication review to reduce drugs that increase fall risk NICE CG161.
Ensure that interventions are delivered by appropriately trained professionals and are flexible to accommodate patient preferences and needs, promoting activity and social engagement NICE CG161.
Provide verbal and written information to patients and carers about fall prevention measures, including how to stay motivated and cope if a fall occurs NICE CG161.
Reassess fall risk regularly, at least annually, and modify interventions as needed to maintain effectiveness NICE CKS.