Risk Factors

Two or more risk factors may suggest need for a personal emergency response system

___ Lives alone or left alone for extended periods
       by caregiver

___ Uses mobility assisted devices
       (walkers, canes, crutches)

___ Functional limitations in performing two or
       more ADL (activities of daily living)

___ Unsafe neighborhood, or patient feels unsafe
       at home

___ Home safety hazards which are not
       correctable, or expense considerations

___ More than 75 years of age

___ Sensory deficits (vision, hearing)

___ History of falls

___ Hospitalization within last 12 months

___ Physically frail

___ History of medication management problems

___ Cognitive deficit

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