Fall Prevention
Fall Prevention
A. Definition: Fall prevention involves identifying patients at risk for falls and implementing interventions to minimize the occurrence of falls and related injuries.
B. Risk Assessment:
1. Assessment Tools: Using validated tools, such as the Morse Fall Scale or Hendrich II Fall Risk Model, helps identify patients at risk for falls.
2. Factors Contributing to Falls: Assessing factors such as advanced age, impaired mobility, history of falls, cognitive impairment, medications, and environmental hazards aids in determining fall risk.
C. Interventions:
1. Environmental Modifications:
a. Removing obstacles and clutter: Ensuring clear pathways and removing tripping hazards reduces the risk of falls.
b. Adequate lighting: Maintaining well-lit areas helps patients see potential hazards and improves safety.
c. Grab bars and handrails: Installing grab bars in bathrooms and handrails along corridors and stairways provides support for patients.
2. Assistive Devices: a. Mobility aids: Providing appropriate assistive devices, such as canes, walkers, or wheelchairs, assists patients with impaired mobility.
b. Alarms and sensors: Using bed or chair alarms, pressure sensors, or motion detectors alerts healthcare providers when patients attempt to rise unassisted.
3. Patient Education:
a. Teaching about fall risks: Educating patients and their families about fall risks and the importance of following safety measures.
b. Call light usage: Encouraging patients to use call lights to request assistance before attempting to move independently.
c. Footwear: Emphasizing the need for patients to wear proper footwear with good traction and support.
D. Documentation:
1. Accurate and thorough documentation of fall risk assessments, interventions implemented, patient responses, and any incidents or near-misses related to falls.
2. Sharing information with the healthcare team to ensure continuity of care and appropriate interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Questions on Fall Prevention
Correct Answer is C
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Correct Answer is A
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Correct Answer is D
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