The MUST Risk Assessments should be completed for all patients within 24 hours of referral/ admission to care home setting. To identify people at risk of malnutrition and trigger a referral to the dietetic service.

Monitor the patients fluid and food intake using the fluid balance charts and food record charts. Consider monitoring lying and standing blood pressure readings.

Check the NEWS Score, food record and fluid balance charts and drug kardex to support need for supplements and or thickener.

If AKD, consider the need for bladder scanning for sepsis and urinalysis and, bladder volume.

Dehydration: can be part of an acute illness: confusion, constipation, hypotension.

Nutritional intake: low body mass index and malnutrition are associated with increased risk of falling largerly related to poorer muscle mass and unsteady gait.

Other conditions: arthritis, diabetes, incontinence, stroke, Parkinson's disease.

Can lead to the patient losing the ability to take care with personal safety resulting in a fall.

Can take the form of: Dementia, Delirium and, Depression

People <65 years and over: had 1 or more falls in the last 12 months.

A fall is defined as an event which causes a person to, unintentionally, rest on the ground or other lower level