intermediategeriatricpolypharmacyfall-riskbenzodiazepinessedationorthostatic-hypotensionmedication-review
A 79-year-old woman with a history of major depressive disorder, generalized anxiety disorder, insomnia, chronic pain, and osteoporosis is evaluated by the PMHNP following her third fall in six months, the most recent resulting in a wrist fracture. Her current psychiatric medications include mirtazapine 30 mg at bedtime, lorazepam 0.5 mg twice daily, trazodone 50 mg at bedtime, and gabapentin 300 mg three times daily. She also takes amlodipine 5 mg daily and hydrochlorothiazide 25 mg daily for hypertension. She reports morning drowsiness, occasional dizziness when standing, and unsteady gait. The PMHNP evaluates the relationship between her medication regimen and fall risk. Which of the following most accurately describes the fall risk assessment for this patient?