Question

1) Address one of your peer’s posts below by identifying which of the nursing interventions listed would be the most effective.

2) Please provide a rationale for your assessment of their interventions.

• Identify clients likely to fall by placing a “fall precaution” sign on the doorway and using a “high-risk fall” armband and room sign to alert staff for increased vigilance and mobility assistance. (Ackley & Ladwig, 2014)having these procedures in place during admission alerts the nursing staff of the increase risk for falls and notifies them to be on high alert around these clients in the event that they look unstable, to help them with ambulation or activity.

Routinely assist the client with toileting on his own schedule, always on awakening, before bedtime, before administering sedatives. (Ackley & Ladwig, 2014) Having a regular toileting schedule helps the client from falling by preventing the confused client going into the bathroom alone and potentially falling.

• Refer to physical therapy for strengthening exercise, gait training, and help with balance to increase mobility. (Ackley & Ladwig, 2014) Balance, gait training and strengthening exercise can help improve K.B.’s muscle coordination and help prevent falls.

Answer 1

Ans) Inspect patient’s skin and change the her postion every 2 hours to prevent skin breakdown.

- Fall Precautions were put in place. Besides the fact that she now has a broken hip, the patient kept stating to me that she keeps feeling dizzy and was dizzy before falling. The dizziness may be an issue that is precipitating falls and should be addressed.

- Keep moving. Physical activity can go a long way toward fall prevention. Such activities reduce the risk of falls by improving strength, balance, coordination and flexibility. If you avoid physical activity because you're afraid it will make a fall more likely, tell your doctor.

- 5 Proven Approaches to Reduce Fall Risk
• Medications Review: Certain types of medications are known to increase falls in seniors, and many of them are surprisingly common.
• Check Blood Pressure While Sitting and Standing.
• Gait and Balance Evaluation.
• Home Safety Assessment and Modification.
• Vitamin D, 1000 IU per day