Chapter 12

Question 1

falling risk increases with age

Answer 1

≥ 65 years old

Question 2

history of falls can cause an ?

Answer 2

increase the risk of falling again

Question 3

injuries due to falling ?

Answer 3

broken bones / head injuries

Question 4

bed rail

Answer 4

a barrier device along the side of a bed; side rail

Question 5

position change alarm

Answer 5

physicals / electronic device monitoring a person’s movement and alerts staff

Question 6

transfer belt

Answer 6

belt used to support unsteady / disabled when TRANSFERRING

Question 7

gait belt

Answer 7

when used to help person WALK

Question 8

properly positioned transfer / gait belt ?

Answer 8

snuggly worn over clothing on the waist, under the breasts and buckle never on person’s spine (positioned to left / right), excess tucked in; unsafe for anyone with conditions regarding the chest / abdomen

Question 9

how to use transfer / gait belt ?

Answer 9

grasp underneath (upward motion), using entire hand

Question 10

fall prevention ?

Answer 10

1) needs are met
2) items within reach
3) help is given when needed
4) lessen agitation with warm drink / soft lights / back massage
5) proper positioning
6) correct procedures / equipment
7) involved in excercise
8) setting is safe

Question 11

when are wheels locked

Answer 11

giving care / transferring to and from bed

Question 12

types of position change alarms ?

Answer 12

1) chair / bed sensor pads
2) bedside mats
3) alarms clipped to clothing
4) seat-belt alarms
5) wireless motion sensors

Question 13

how to use position change alarms safely ?

Answer 13

1) following manufacturer’s instructors
2) mount / secure the alarm
3) alarm ≥ 2ft away from persons ear
4) test the alarm
5) respond to alarm at once
6) attach clip our of person’s reach
7) check the cord; should allow movement but not too short

Question 14

when are bed rails used ?

Answer 14

when to use by nurse / care plan; unconscious / drugged / confused / disoriented or when giving care

Question 15

bed rails must be

Answer 15

in person’s best interest

Question 16

bed rails can only be used when ?

Answer 16

person / legal rep. gives written consent; noted in persons’ medical record / care plan (CONSIDERED RESTRAINTS)

Question 17

what to do when persons falling ?

Answer 17

DON’T PREVENT fall, can cause injury; hold person close to body / use body to slide person down to floor, insist they stay on the floor until nurse gets there, write incident report afterward

Question 18

should you force a person to stay on the floor if they’re trying to get up ?

Answer 18

NO, forcing them to stay down may cause injury; never use force

Question 19

what to do if bariatric person falling ?

chanamo person

Answer 19

DO NOT use falling procedure, move other items out of the way to avoid more unnecessary injury, protect the person’s head and call for nurse

Question 20

how to move person from the floor ?

Answer 20

nurse will assess the person and handle what procedures are needed, assist as needed; use minimal amounts of manual lifting