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  1. Statistics healthy people 2020
    • falls and safety are huge things for short term and long goal
    • optimal function
    • quality- restraint free, independent
  2. Consequences of falls
    • 1 Hip fractures- 2nd leading cause to hospitilazation
    • 2. TBI- traumatic brain injury- bc of certain meds they take like coumadin, aspirin- bleeding. silent epidemic, falls leading cause of death- subdural hematoma
    • 3. Fallophobia- fear of falling
  3. Factors contributing to falls
    • 1. gait disturbances- arthritis, osteoporosis, pain, parkinson disease
    • 2 foot deformities- bunions, nails, DM- ulcers, loss toes, cant feel things on feet
    • 3. posture/postprandial hypotension: receptors are not as quick more with elders with position changes, in the morning after laying for hours
    • 4. cognitive impairment- confusion, cant remember to
    • 5. Vision and hearing deficits
  4. Implication for Geron nursing and healthy aging
    • ask questions about falls- any injuries
    • difficulty walking
    • prevention
    • remember elders may be scared to share due loss of independence
  5. screening for fall risk
    • Morse fall risk
    • most hospital use this
  6. Post fall assessments
    • Hx- how it happened, who saw etc
    • Physical examination- VS, head an neck visual impairment, hearing impairements eltc head to toe
    • FUnctional assessment- gait and balance mobility etc
    • environmental assessment- equipment use etc
    • prevention: is key
    • - exercise, know how to use assistive devices, vit d and ca, environment free from clutter
    • good lighting
  7. Falls- review meds
    • look at pt's meds
    • see if meds cause safety concerns things
    • BP, CNS, balance urinary control
  8. Environmental modification
    • getting off the toilet- higher seating
    • bath tub- bath bench, grab bars
    • slippery wet floor- non skid mats
    • hot water burns- theromoter
    • rolling beds- remove wheels
    • bed too low- second mattress, adjustable height hosp bed
  9. Assistive devices
    • Canes- unaffected side- wrist strength, check rubber on the bottom
    • Walkers
    • crutches: measure correctly
    • wheel chairs
    • shoes
    • height measurements: everything done according to height
    • equipment checks
    • assistive technology
  10. Restraints/side rails restraint free care
    • why we don't use restraints- fall, hang self, skin issues
    • physical restraint- anything that can immobilize the pt is known as a restraint
    • chemical restraint- drugs meds- all can cause injury
    • u can get a sitter, increase activity, fix environment, alarms
  11. Environmental safety
    • temperature: heat and cold; problem with thermoregulation- system doesnt function very well
    • interventions for hyperthermia- drink 2-3L of cool water, ac or fan, hats, loss clothing, tepid bath/shower, apply cold compresses to hands and feet, evaluate meds that can cause this
    • Hypothermia risk- cant sense cold, keep them warm, heat, resources
    • natural disasters- greater risk, higher casuality, limited mobility, socially isolated, cognitive impaired,
    • transportation- can be a problem and cause social isolation, poor nutrition, neglect health, not able to drive,
  12. Maslow
    safe and secure include- personal security, financial, health and well being, safety against accident/illness
Card Set:
2015-06-25 17:46:49

keep our elders safe from harm
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