Score and Assessment Systems

Hendrich 2 Fall Risk Scale

Author: Null
Address: http://www.ahincorp.com
Original Work: Null
Coypright: Copyright

Trademark: unknown

Explanation:
HL7 v2.x datatype: NM
HL7 V3 datatype: INT
Links: http://www.ahincorp.com/hfrm/index.php#

Interpretation

Codesystem Code Value(s) Interpretation
pseudo 1 -4
pseudo 2 5- high risk

Components

Comp. Decription Bezeichnung Code System: Codes/
Score Value
Details /
Score Range
/
Units
HL7 DT v2 + V3 /
Snomed CT
1 Confusion/Disoientation/Impulsivity

no 0 - NM + INT
yes 4 - NM + INT
2 Symptomatic Depression

no 0 - NM + INT
yes 2 - NM + INT
3 Altered Elimination

no 0 - NM + INT
yes 1 - NM + INT
4 Dizziness/Vertigo

no 0 - NM + INT
yes 1 - NM + INT
5 Gender (Male)

female 0 - NM + INT
male 1 - NM + INT
6 any administered antiepileptics (Anticonvulsants)

nothing administered 0 - NM + INT
antiepileptics administered 2 - NM + INT
7 any adminstered benzodizepines

nothing administered 0 - NM + INT
benzodiazepines administered 1 - NM + INT
8 get-up-and-go test

Ability to rise in single movement - No loss of balance with steps 0 - NM + INT
Pushes up, successful in one attempt 1 - NM + INT
Multiple attempts but successful 3 - NM + INT
Unable to rise without assistance 4 - NM + INT
TOTAL SCORE Hendrich 2 Fall Risk Scale


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Links to Further Information

General Note

The primary purpose of the information provided above is to enhance interoperability. The primary focus lies on the assigned codes.
Therefore, no guarantee can be given whether the use of the score or assessment system is allowed or not. It is highly recommended to check with the author directly. We are aware that the presented information may be not enough in order to work with it. The authors have done their best to ensure copyright and other jurisdictional requirements.

Date of Last Change: Nov 06, 2008 (FO)