Professional Documents
Culture Documents
1, 2
Sponsored by: West Central Regional Trauma Advisory Council in Partnership with Regions Hospital
Timed Up-And-Go
1, 2
Score of 14 seconds
3 Risk Factors,
especially in I-V need for
support with cognition,
transportation or
attendance at > 1
professional visit
Low
Risk
Moderate
Risk
High
Risk
1. Podsiadlo D, Richardson S. The Time Up & Go: A Test of Basic Functional Mobility for Frail Elderly Persons. Journal of the American Geriatrics Society 1991;
39(2): 142148.
2. Shumway Cook A, Brauer S, Woollacott M. Predicting the Probability for Falls in CommunityDwelling Older Adults Using the Timed Up & Go Test. Physical Therapy
2000 Vol. 80(9): 896903.
(c) Saskatoon Falls Prevention Consortium, Falls Screening and Referral Algorithm, TUG, Saskatoon Falls Prevention Consortium, May 2007
Sponsored by: West Central Regional Trauma Advisory Council in Partnership with Regions Hospital
assessment clinic at
The goal of this assessment is to identify patients at risk of falls before they have a major injury. Your patient
self-referred for this screening. They were screened using a risk factor questionnaire and the Timed-UpAnd-Go (TUG) Test. These are well established screening tools for fall risk. These tests combine to stratify
the patient as being at low, medium or high risk of falling.
Your patients results are as follows:
Screening Results:
Timed-Up-And-Go Test
Score:
Risk Identification:
Low - score of < 14
seconds on TUG & < 3
Risk Factors
Our screen has identified the following risk factors that may need further discussion if they have not
already been addressed:
Relevant risk factors for falls:
Previous falls or near falls
Endurance/weakness
Sensory risk
Arthritis/pain
Inadequate nutrition
Medical risk
Incontinence
Cognitive risk
Sleeping problems
Environmental hazards
Gait/mobility risk
Depression or Anxiety
Previous fractures/Osteoporosis
Sponsored by: West Central Regional Trauma Advisory Council in Partnership with Regions Hospital
Screened by (name/title):
Date:
Telephone:
If you have any questions, please contact the above number.
Further fall information can be obtained from the Saskatoon Falls Prevention Consortium
www.saskatoonhealthregion.ca/your_health/ps_ip_falls_who_we_are.htm
Sponsored by: West Central Regional Trauma Advisory Council in Partnership with Regions Hospital