🧠 The Intrinsic Five: What Actually Predicts Falls

1. Prior fall history → 3-6x increased risk (best predictor)
2. Lower-extremity weakness → 4x risk
3. Gait/balance impairment → Most consistent predictor
4. Cognitive impairment → 2x hip fracture risk
5. Orthostatic hypotension → Dizziness on position change

These are INSIDE the patient. No checklist captures all of them.

Ask. Observe. Test. Don't just score.

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