The home nurse assesses a frail older adult for fall risk using the Timed Up and Go (TUG) test. Which score places this client at high risk for falls in his home?
A) 6
B) 9
C) 12
D) 15
Ans: D
The TUG test is a reliable measure of gait speed, as well as an indicator of fall risk and ability to safely perform ADLs. Higher scores (i.e., longer time to complete the tasks) are associated with increased risk for falls. Cutoff scores between 12 and 14 seconds are discussed in the literature, but a score of 12.47 seconds is recommended in a review of studies.
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