Falls and Balance Clinic

Facilities	Opening Hours
Geriatric Medicine Clinic Level B1 Tel: 6357 8013 Fax: 6357 8682	Monday to Friday: Saturday: Sunday & Public Holiday:	8am to 5pm 8am to 12.30pm Closed
GP Direct Access Hotline: 9666 6698

Introduction

Fall is a serious problem in the elderly. Approximately 30% of elderly aged 65 years and above experience a fall every year. Half of those who fell will fall again. Falls can result in serious consequences such as head injuries, fractures and reduced activity due to fear of falling. This self imposed inactivity can result in functional decline.

Why does a person fall?

There are many reasons why a person falls. It may be due to muscle weakness, poor balance, poor eyesight or an underlying medical condition. The fall may also be accidental or associated with high risk activity.

Why does one need to see a doctor for falls?

It is important to accurately assess the causes of the fall so that appropriate measures can be taken to prevent further falls. It is also important to break the cycle of fall to prevent functional decline and reduce fear of falling.

What is a Falls and Balance Clinic?

This clinic evaluates ambulant patients, aged 65 years and above, who have a history of falls or difficulties in walking. The clinic consists of a team of healthcare professionals who are trained in geriatric assessment and rehabilitation. The aim is to identify the causes of falls in the individual patient and develop a care plan to help prevent further falls.

What happens in the clinic?

The first visit may take up to 2 hours. You are advised to wear loose, comfortable clothing and proper shoes.

1st Visit	Description
Assessment	You will first be seen by our nurse clinician who will obtain background information on your previous falls and your functional status and assess your vision, hearing and fear of falling. A geriatrician will then perform a comprehensive clinical assessment of your falls. This will include a review of your medical history and medications, a physical examination and gait assessment. If necessary, radiological or blood tests may be ordered for you. You will also undergo an assessment by the physiotherapist who will look at your general fitness, balance and walking ability.
Treatment	Following the assessment, your risk factors for falls and strategies to prevent further falls will be explained to you. This may include treatment of underlying medical problems, medication adjustment and physical therapy. A home visit by our occupational therapist may be arranged to assess your home environment. Home modification may be recommended to improve your safety at home.

The geriatrician will review you in six weeks time and another review at six months unless there is a need for you to be seen earlier.

The physiotherapist will enroll you in an exercise programme. This programme will be reviewed and adjusted as you improve.

Falls and Balance Clinic Brochure

 

Our Specialists

	Name : Noor Hafizah B Ismail Designation : Senior Consultant Credentials : MBBS, MRCP, FAMS Subspeciality : Falls Service for the Elderly
	Name : Rani Ramason Designation : Consultant Credentials : MBChB (Leeds), MRCP (UK), DGM (London) Subspeciality : Falls Service for the Elderly
	Name : Wong Wei Chin Designation : Consultant Credentials : MBBS, MRCP, FAMS Subspeciality : Falls Service for the Elderly

 

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