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What’s really good Nursing diagnosis for risk for falls? Patient had Syncope episode prior to addmiting...

What’s really good Nursing diagnosis for risk for falls? Patient had Syncope episode prior to addmiting to the hospital.
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Answer #1

Risk for falls related to tiredness as evidenced by syncope episodes before admission.

Goals: patient will be free from falls during hospitalization.

Intervention:

  • Assess blood pressure periodically.
  • Provide a yellow fall risk band to alert other staff about the risk
  • Always put side rails and keep bed in its lowest position.
  • Instruct to use bed alarm in case of any needs.
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