pressure ulcer prevention
Fall precautions
Patient was instructed on Why Older People Fall. There are many reasons that older people have increased risk of falling. Prevention of falls starts with identifying potentially treatable medical conditions, such as: Side effects of medications, fainting spells, vertigo.
SN instruction patient and care giver on fall prevention starts with creating a safe living space. Clean up clutter. Repair or remove tripping hazards. Avoid wearing loose clothing. Light it right. Wear shoes.
SN instructed patient and caregiver about how to implement fall prevention program. Check the lighting in your apartment, consider installing a grab bar, replace scatter rugs with rubber backed rugs, make sure the light near the bed is easy to reach, move the phone within arm’s reach of your bed, easy access to the things you use the most. Patient and caregiver verbalized understanding.
SN taught patient rise slowly and pause prior to ambulation to ensure proper blood pressure adjustment. Pump ankle 5-10x to reduce risk of blood pressure drop after rising from seating position. Make sure you feel your seat on the back of your legs prior to sitting. Use appropriate assistive device to ambulate. Take extra precaution while turning, around rugs/mats and avoid walking backwards.
Patient was instructed on other reasons Why Older People Fall such as: Lightheadedness with standing caused by postural hypotension (blood pressure that drops dramatically with standing), other forms of dizziness, persistent pain in any part of the leg.