Geriatric Falls Clinic

Geriatric Falls Clinic: For Evaluation and Follow-up for the Treatment and Prevention of Falls

The Geriatric Falls Clinic involves a multidisciplinary assessment, including screening of vision, medical conditions, polypharmacy, nutritional status, mental alertness, physical function, balance and strength.

After the assessment, a summary letter will be provided to the patient and physician. The Falls Clinic is advised for any elderly patient who has had a fall or fracture, has balance problems, or is at high risk for falls.

Before the Appointment

The patient should plan to arrive 15 minutes early and wear comfortable shoes. The patient will meet separately with a nurse practitioner and a physical therapist. The appointment will last about 90 minutes.

The patient should bring the following to the evaluation:

• All medicine in original containers, including over-the-counter medicines
• Medical records for care obtained outside the Cleveland Clinic’s hospitals and family health centers (including results of bone mineral density tests)
• Lab tests from the past two years
• Details of past falls, prior evaluations, illnesses, surgeries and allergies
• Current insurance information

Evaluating Patients

Clinical nurse specialist Anne Vanderbilt, MSN, CNS, CNP, will talk with the patient about health issues, nutrition and living environment as related to falls, evaluating for the following:

• Depression
• Malnutrition
• Cognition
• Vision
• Osteoporosis
• Medical conditions
• Neurological issues
• Multiple medications
• Safe living environment

If appropriate, evaluation by a physical therapist will be recommended to develop an exercise program tailored to the patient’s needs. The patient can go to any Cleveland Clinic facility to carry out this program. The team will generate a summary of recommendations for the patient and primary care provider and facilitate testing and referrals to other specialists if needed. A follow-up appointment typically is requested in six weeks.

Scheduling an Appointment

To schedule an appointment, please call 216.444.5665 or 800.223.2273, ext. 45665.