Guide to condition specific risk assessment Falls Prevention risk assessment This is a clinical tool you can use to asses risk of a service user experiencing a fall. The Falls assessment (prevention of falls) consists of four sections. Drugs/alcohol Ageing Process Medical conditions and Environment/equipment (DAME). Each section has specific consideration to aspects that may increase the risk of a fall. For each consideration action and support should be identified. Source PaCT Falls managers and Falls champions course. Bathing & Showering risk assessment This is a risk assessment tool you can use to assess the risk service users use of bathing and showering facilities. The bathing and showering risk assessment consists of seven questions to determine the level of risk involved in service users using communal showering and bathing facilities. This assessment should be followed with a risk management plan to determine the levels of support that have been agreed with the service user.. Source Health and Safety Executive (HSE) Choking/Aspiration risk assessment This is a clinical tool to determine the risk of chocking in service users at risk of dysphagia or aspiration. The choking and aspiration risk assessment consists of 12 sections. Cognitive function, alertness, postural control, general health, fatigue, oral health, respiratory problems, behavioural/mental health, pain management, social/physical environment, distractibility and medical conditions. Each section has specific consideration to aspects that may increase the risk of a choking or aspirating. For each consideration action and support should be identified as well as the overall risk identified by the score. Source: National Patient Safety Agency NHS Domiciliary Medications risk assessment The domiciliary assessment to identify the level of medicines administration support required in initial assessment of a service user. Manual Handling of Persons risk assessment This is a tool to help staff identify which risks may be associated with lifting a service user. The Manual handling Risk Assessment is divided into three sections. The first looks at risks associated to the person. The second reviews the risk associated with the tasks being performed and the equipment used. The final section is a support plan to best manage the risks identified. Malnutrition Universal Screening Tool (MUST) This is a clinical tool to determine malnutrition. The Malnutrition Universal Screening Tool (MUST) has been designed to help you identify adults who are underweight and at risk of malnutrition, as well as those who are obese. It has not been designed to detect deficiencies in or excessive intakes of vitamins and minerals. Source: BAPEN Pressure Sore Recording Chart A body map template used to record position, severity and other indicators of the condition and progression of identified pressure sores and tissue viability Waterlow Tissue Viability Risk Assessment This is a clinical tool you can use to assess risk of a service user developing a pressure ulcer. The Waterlow consists of seven items: build/weight, height, visual assessment of the skin, sex/age, continence, mobility, and appetite, and special risk factors, divided into tissue malnutrition, neurological deficit, major surgery/trauma, and medication. The tool identifies three 'at risk' categories, 1. 2. 3. a score of 10-14 indicates 'at risk' a score of 15-19 indicates 'high risk', a score of 20 and above indicates very high risk. Source Judy Waterlow