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Resources for the Comprehensive Geriatric Assessment based
Proactive and Personalised Primary Care of the Elderly

Environmental Assessment

environmental assessment

Maintaining independent living is a high priority among community-dwelling older adults.

Physical and mental impairments associated with advancing age can threaten independent living.

HSSAT v5 int'l

Home Safety Self Assessment Tool v.5 international

Home Safety Self-Assessment Tool to :

  • increase perceived knowledge of home safety and identify unsafe activities,

  • develop home safety plans and safely perform activities,

  • reduce the risk of falls for elderly residents.

30 min. variable

Check for Safety int'l

Check for Safety - international revision

List of items to check around the house to prevent falls

10 min. variable

Home Safety Checklist int'l

Check for Safety - Safety for older consumers - international revision

Checklist to prepare for an emergency and to spot possible safety problems in the home

10 min. variable

Fire Safety Checklist int'l

Fire Safety Checklist - international revision

Checklist and safety guide to spot possible fire safety problems which may be present in the home.

10 min. variable

Safety for community dwelling older adults implies that they are safe from falls, violence, and disaster.

It is important to conduct regular home safety assessments to identify areas of risk and implement a program to minimize specific areas of risk that are found.

Categories to include when assessing the safety of elders environment include risk for falls (external and internal factors), history of near and past falls, use of personal precautions, risk and preparation for fire and disasters, and risk for crime (Tanner EK, 2003).


Increased symptoms from chronic illnesses and concomitant treatments, decreased vision and mobility, weakened balance and strength, and increased environmental risk factors within the home setting all result in added risks for unintentional injury.


These risks too often lead unnecessarily to falls.

Approximately one-third of older adults experience at least one fall each year, with serious injury reported in 45%, and those who have fallen previously are likely to sustain subsequent falls (Stalenhoef PA, 2002).


Falls represent the leading cause of unintentional injury in older adults and often result in mortality, diminished functional ability, and institutionalization or permanent loss of independent living.

Consequently, it is imperative to assess risks to home safety and implement prevention programs among community-dwelling older adults to prevent falls, avoid injury, and facilitate independence as long as possible (Tanner EK, 2003).

doctor and patient

The Environmental Assessment is one of 8 domains of the

Comprehensive Geriatric Assessment (CGA)

Back To : Comprehensive Geriatric Assessment

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