Wilhelmina Ross performed every clinic test adequately. She was also falling roughly once a month, in a house nobody had visited.
Continuity matters more here than in almost any other population, because the history is long and the person telling it may not be the patient.
The list grows because every appointment can add and almost none are structured to remove. Nobody is at fault; the mechanism simply only runs one way.
You cannot assess a home from a clinic. We keep trying, because visits are expensive and clinics are not.
Illustrative composite
Home assessment finds things clinic assessment cannot: the rug, the third step, the light switch at the wrong end of the hall, the chair that is four inches too low.
Two rails, one chair raised four inches, one rug removed. No falls in eleven months.
