CLASSIFICATION OF RISK OF FALL IN ONCOLOGY SERVICE FOR AMBULATORY PATIENTS

Introduction: Falls are non planned events occuring by variable multifactorial circumstances that can take the patient to the floor, inflicting lesions or not. In order to evaluate the risk of fall which patients are exposed, there are tools used during institutionalization. Within available scales it is possible to quote the National Health Services (NHS) Fall Risk Assessment Scale. The scale is such an instrument provides a systemical evaluation to the professional, making possible to chose the strategy being implemented to prevention the event according to the risk level presented by the patient. When applying the scale, the professional has to evaluate the march stile, falls history, sensory déficit, medications, medical history and memory. Purpose: Evaluate the risk of fall shown by ambulatory patients from a reference Oncology hospital at Parana State, Curitiba city. Method: A data collection was performed in the electronic medical record system from January 2016 to December 2018. Results: Performed evaluation using NHS scale for about 4867 patients, which 97,74% (n = 4757) services performed by the Unified Health System (SUS). Among the sectors with ambulatory care that performed at the NHS scale, radiotherapy prevailed with 56.09% (n = 2730). Majority of the patients were female 61,8% (n = 3007). Related to the age group, there was a predominance between 60 and 65 years 15.08% (n = 734), followed by the age group of 65 to 70 years 14.07% (n = 685). Regarding obtained Scores within NHS scale application 54,92% (n = 2673), were classified as low risk of fall, 37,59% (n = 1829) were classified as non risk, 5,44% (n = 265) as moderated risk and 2,05% (n = 100) such high risk. Conclusion: Based on the data analyzed, it is possible to notice a prevalence of care provided by the SUS, since the institution is a philanthropic institution with the largest public being SUS. It obtained an expressive percentage of elderly between 60 and 70 years, since these carry with them greater comorbidities. Of the patients evaluated by the NHS scale, there is a predominance of those classified as low risk because they were ambulatory patients. Based on the research it is important to make a critical reflection about health services regarding to the prevention and early identification of risk factors of falls.