Make STEADI Part of Your Medical Practice
Falls are not an inevitable part of aging. There are specific things that you, as their health care provider, can do to reduce their chances of falling.
To help, CDC created STEADI, which stands for Stopping Elderly Accidents, Deaths and Injuries. STEADI is comprised of tools and educational materials for health care providers that are based on an algorithm adapted from the American and British Geriatric Societies’ Clinical Practice Guidelines. Using STEADI, you will be able to:
- identify patients at low, moderate, and high risk for a fall;
- identify modifiable risk factors; and
- offer effective interventions.
STEADI Phase One includes 3 steps that you can complete in one visit:
- ASK patients if they’ve fallen in the past year, feel unsteady, or worry about falling.
- REVIEW medications and stop, switch, or reduce the dosage of drugs that increase fall risk.
- RECOMMEND Vitamin D supplements of at least 800 IU/day with calcium.
Three Questions to Ask Your Older Adult Patients
When you see patients 65 and older, make these three questions a routine part of your exam:
1. Have you fallen in the past year?
2. Do you feel unsteady when standing or walking?
3. Do you worry about falling?
If your patient answers “yes” to any of these key screening questions, they are considered at increased risk of falling. Further assessment is recommended.
CDC’s STEADI tools and materials are available at no cost and include:
- Screening and clinical decision support tools;
- Instructional videos and online trainings;
- Case studies and tips for talking with patients; and
- Educational materials for patients and their friends and family.
New CDC STEADI tools and materials coming soon include:
- Online continuing education courses on how to incorporate STEADI in the clinical practice.
- Clinical decision support modules for electronic health record systems (Epic and GE Centricity). The modules prompt providers to screen for fall risk, assess risk factors, and determine necessary follow-up.