Physiotherapists Can Carry Out Assessments On Patients Using Falls Risk Assessment Tools

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Physiotherapists can carry out assessments on patients using falls risk assessment tools (FRAT). FRATS use questions and observations to categorise patients as low, moderate or high falls risks (Miedany, Gaafary, Toth, Palmer & Ahmed, 2011) and identify the necessary level of intervention needed. Wong-Shee, Phillips & Hill 's (2012) research promotes the use of the TNH-STRATIFY falls score assessment tool. The TNH-STRATIFY has an extensive question list, identifying more falls risk factors. Wong-Shee et al 's. (2012) research suggests the TNH-STRAITFY has high inter-rater reliability with an excellent intra-class correlation score of 0.96. 1 is deemed a perfect score (Hallgen, 2012). The high inter-rater reliability score adds statistical power to the research regarding the use of TNH-STRATIFY due to consistency of the tool used on consecutive patients (Hallgren, 2012). Although the two raters of the tool scored high intra-class correlation scores contributing to high inter-rater reliability, the tools predictive risk factor specificity rating scored only moderately, with 0.52 (Wong-Shee et al., 2012). For FRATS to be considered as having a high level of predictive risk accuracy the predictive specificity rating needs to be greater than 0.7 (Myers, 2003). This moderate rating of accuracy significantly limits the TNH-STRATIFY 's use in clinical practice. This is due to the fact that although the tool rates highly for reliable use between clinicians, the risk factor

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