fall prevention

Category: Education

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Fall Prevention : 

Fall Prevention By: Chris Belli

Slide 2: 

Falls are not just the result of getting older. Many falls can be prevented. All patients are at risk for a fall sometime during their hospital stay.

Reportable Conditions : 

Reportable Conditions Notify physician or licensed independent practitioner for any of the following reasons: Any falls or injury. Increased risk of falls based on changes in patient such as mental status, consciousness, or altered mobility. Orthostatic changes.

Assess : 

Assess Mental status Blood Pressure

Monitor for : 

Monitor for Symptoms of falls and injury (Observe patient/Notes in Caredex) Risk factors or causes of falls (Medications/Environment/Reevaluate)

Promote a Safe Environment : 

Promote a Safe Environment Orient patient to surroundings. Keep frequently used personal items within reach along with the telephone and call light. Provide safe footwear. Provide appropriate sized clothing. Assist patient with transfers and ambulation. Make sure environment is clear BEFORE transferring or ambulating. Keep the bed at lowest level and wheels locked. Change positions slowly for patients with orthostatic hypotension.

Teach : 

Teach Use call light and side rails. To use assistive devices as needed. Expect side effects of prescribed medications. Home Environment Safety Measures at Discharge: Remove things you can trip over. Remove small throw rugs. Keep items you use often in cabinets you can reach. Have/Install grab bars. Use non-slip mats in the bathtub and on shower floors. Improve the lighting in your home. Wear shoes that give good support and have thin non-slip soles. Begin a regular exercise program (if applicable). Have your vision checked.

Safety : 

Safety Implement the following safety measures as applicable when a patient’s fall risk score is 5 or greater: More frequent observation of patient. Post Falls Risk Magnet where appropriate. If available, transfer to a room where closer observation is possible. Assist patient to and from bathroom/ commode. Restraints.

References : 

References CPG (Collaborative Practice Guidelines) http://www.cdc.gov/ncipc/duip/spotlite/falltips.htm#1

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