falls-precautions
General
Instructed in home ambulation with cane, clear pathways, falls precautions, good lighting, non skid shoes, etc.
Patient instructed on fall safety precautions to include: locking w/c before transfers, use assistive device for mobility at all times, make sure walkways are free of clutter, & well lit, do not walk around barefoot or in socks, avoid using rugs, use non slip rug in bath tub & use shower chair for bathing.
SN completed patient cardiovascular and pulmonary assessment. Medication reviewed and administered. Educated staff on monitoring patient for mood changes, aggressive episodes, anxiety, and agitation related to medication SEs. Staff instructed to monitor environmental hazards to prevent falls and injuries. Staff was also encourages to encourage patient to rise slowly to prevent syncope and dizziness.
SN completed patient cardiovascular and pulmonary assessment. Educated staff on monitoring patient for dizziness, syncope, cardiovascular status, anxiety, and agitation related to medication SEs. Staff to encourage patient to rise slowly to prevent syncope and dizziness. Staff instructed to monitor environmental hazards to prevent falls and injuries in addition to monitoring skin for breakdown due to episodes of bowel and bladder incontinence.
SN assessment done on all body systems. Checked blood sugar daily monitoring on patient's log book, hydration, dietary, and medication compliance. Instructed patient on keeping blood glucose within normal range and preventing the development of long-term complication. Careful monitoring of diet, exercise and blood sugar levels are as important as the use of oral medications in preventing complications of diabetes. Also taught infection control, safety/fall precautions and preventions, and to contact MD for any emergency and/or medical concerns and changes.
Instructed patient a clean, dry work area should be identified to complete medication preparations and perform dressing changes.
SN instructed patient and/or caregiver on importance to follow medication regimen exactly as ordered by Md without skipping any doses, nor sharing with others.
SN instructed patient and caregiver on strategies that can significantly help decrease the risk of a fall such as: skid-proof mats or strips in the shower and bathtub, removal of furniture that can slip away if grabbed accidentally for support, supportive non-slip footwear and not walking in stocking feet. SN also instructed on side effects of most medications taking that could possibly cause dizziness and to report it so that it can be addressed by physician. Patient and caregiver voiced understanding of all instructions given.
Sn instructed patient on seizures and precautions for safety at home. replace glass tables or furniture with wood, glass can break and cause injury, leave interior doors open, don't take shower unless someone is in the house and make sure family and friends are aware of your seizures and know what to do to help if you have a seizure. Notify nurse or Physician if seizures occur. If a grand mal seizure occurs go to ED after recovery.
SN instructed patient / caregiver about a few simple precautions that can be taken to create a safe home environment when using oxygen. Oxygen canisters should be kept at least 5 - 10 feet away from gas stoves, lighted fireplaces, wood stoves, candles or other sources of open flames. Do not use electric razors while using oxygen ( These are a possible source of sparks ). Do not use oil, grease or petroleum - based products on the equipment. Do not use it near you while you use oxygen. These materials are highly flammable and will burn readily with the presence of oxygen. Avoid petroleum - based lotions or creams, like Vaseline, on your face or upper chest. Check the ingredients of such products before purchase. If a skin moisturizer is needed, consider using cocoa butter, aloe vera or other similar products. For lubrication or rehydration of dry nasal passages, use water - based products. Your pharmacist or care provider can suggest these.