CLINICAL KIT: P:\Vendors-Partners\CDC\Fall Risk Assessment\EF\Medication Risk Management\Med Risk Review Only\20160328\Fall Risk Medication Review.ckt
   FORM NAME: Fall Risk Medication Review

This form uses the following observation terms:

Short Name      HDID            Type  Units      Description
--------------- --------------- ----- ---------- ------------------------------------
FALLMEDREV      203179          T                Falls risk assessment: medication review and modification
RECOMVITD       469174          T                Recommend daily use of vitamin D  /- calcium
FALLRISKMED     502944          T                Medicaitons which increase fall risk
MEDALERTOVRD    436272          T                Medication alert override indication


This form uses the following observation terms not included in your database:



This form uses the following flowsheet views:



This form uses the following problem custom lists:



This form uses the following medication custom lists:



This form includes the following items:

Type                                     Label                Connection                    
---------------------------------------- -------------------- ------------------------------
Page                                     Med Risk Review      
  Section                                Current Medications  
    Multi-item row                                            
      Text                               Medications          
      Text                               Problems             
    Multi-item row                                            
      Data display                                            
      Data display                                            
  Section                                High Risk Medication 
    Multi-item row                                            
      Heading                            Medications Linked T 
      Action Button                      ?                    RUNPROCESS {userok("The medications most likely to cause falls include:" + hret + hret + "**    Central nervous system or psychoactive medications:" + hret + "    *    Anticonvulsants" + hret + "    *    Antidepressants" + hret + "    *    Antipsychotics" + hret + "    *    Benzodiazepines" + hret + "    *    Opioids" + hret + "    *    Sedatives-hypnotics" + hret + hret + "**    Prescription drugs, over-the-counter medications (OTC), and supplements which can cause dizziness, sedation, confusion, blurred vision, or orthostatic hypotension. For example:" + hret + "    *    Antihistamines" + hret + "    *    Medications affecting blood pressure" + hret + "    *    Muscle relaxants" + hret + hret + "Determine if medications can be changed:" + hret + "  ->    Stop medications, when possible." + hret + "  ->    Switch to safer alternatives." + hret + "  ->    Reduce medications to the lowest effective dose." + hret + hret + "Develop a patient action plan that includes:" + hret + "  ->    Medication changes" + hret + "  ->    Monitoring plan for medication side effects" + hret + "  ->    Non-pharmacologic options" + hret + "  ->    Solutions to identified patient barriers" + hret + "  ->    Additional strategies to reduce fall risk")}
      Text                                                    
      Action Button                      Ref                  RUNPROCESS {userok("CNS-active medications that have the strongest evidence for increased fall risk are highlighted in our tool.*" + hret + hret + "Classes include anticonvulsants, antidepressants, antipsychotics, benzodiazepines, opioids, and sedatives-hypnotics. "+ hret + hret + "* Based on the 2015 American Geriatrics Society Beers Criteria")}
    Data display                                              GetRiskList()
    Multi-visibility                                          
      Visibility region                                       Val(DOCUMENT.HOLD_SIZE_OF) == 1 OR Val(DOCUMENT.HOLD_SIZE_OF) == 2
        Text                             Your patient is curr 
        Text                             Evaluate the current 
        Text                             If possible, avoid t 
      Visibility region                                       Val(DOCUMENT.HOLD_SIZE_OF) > 2
        Text                             Your patient is curr 
        Text                             If one of the drugs  
      Visibility region                                       Val(DOCUMENT.HOLD_SIZE_OF) == 0
        Text                             No fall high risk me 
    Visibility region                                         1 == 2
      Multi-item row                                          
        Edit field                       hold size of high ri DOCUMENT.HOLD_SIZE_OF
        Edit field                       hold high risk med l DOCUMENT.HOLD_HIGH_RISK_MED_LIST
        Multi-line edit field            HOLD_REASON_TO_RETAI DOCUMENT.HOLD_REASON_TO_RETAIN
    Multi-item row                                            
      Text                                                    
      Visibility region                                       MED_LIST_CHANGES() <> "" AND MED_LIST_CHANGES() <> NULL
        Action Button                    Refresh Meds Linked  RUNPROCESS {JUMP_TO_TAB(".") JUMP_TO_TAB("Med Risk Review")}
      Action Button                      Update Medications   ADD_MEDICATION 
    Visibility region                                         {obsnow('FALLMEDREV') == ""}
      Text                               Please answer 'Revie 
    Multi-item row                                            
      Radio button                       Review of medication FALLMEDREV
      Visibility region                                       MED_LIST_CHANGES() <> ""
        Check box                                             DOCUMENT.WRITE_CHANGE
    Multi-item row                                            
      Check box                                               DOCUMENT.REFER_TO_PHA
      Data display                       Last Reviewed on:    {LAST_SIGNED_OBS_DATE('FALLMEDREV')}
      Action Button                      Print Medication Sum RUNPROCESS {OBSNOW("FALLRISKMED",DOCUMENT.HOLD_HIGH_RISK_MED_LIST)}{printhandout("Handouts\STEADI\Fall Risk Medication Review Summary")}
    Check box                                                 DOCUMENT.VIEW_EDIT_NOTE
  Section                                                     
    Multi-visibility                                          
      Visibility region                                       DOCUMENT.VIEW_EDIT_NOTE <> ""
        Multi-item row                                        
          Heading                        Additional Documenta 
          Visibility region                                   DOCUMENT.MEDICATION_DROPDOWN <> "" AND (DOCUMENT.OVER_RIDE_REASON <> "" OR DOCUMENT.OVER_RIDE_NOTES <> "")
            Action Button                Press to Save Note   RUNPROCESS {IF DOCUMENT.HOLD_REASON_TO_RETAIN == "" THEN 
        Multi-item row                                        
          Dropdown list                  Medication:          DOCUMENT.MEDICATION_DROPDOWN
          Dropdown list                  Reason to Retain:    DOCUMENT.OVER_RIDE_REASON
        Multi-line edit field            Note:                DOCUMENT.OVER_RIDE_NOTES
        Data display                                          OBSANY("MEDALERTOVRD")
        Action Button                    Click to see the Ame RUNPROCESS {runshellopen("http://www.ncbi.nlm.nih.gov/pubmed/26446832")}
        Action Button                    Click to see addtion RUNPROCESS {runshellopen("www.cdc.gov/STEADI")}
      Visibility region                                       DOCUMENT.VIEW_EDIT_NOTE == ""
        Action Button                    Click to see the Ame RUNPROCESS {runshellopen("http://www.ncbi.nlm.nih.gov/pubmed/26446832")}
        Action Button                    Click to see addtion RUNPROCESS {runshellopen("www.cdc.gov/STEADI")}
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