Falls Flashcards
What is the most common cause f TBI
Falls
What is the #1 predictor of falls
previous falls
What should you look at in a fall assessment
identify those at risk
med hx, physical and functional assessments, general mobility
environmental assessment
fall history
What does SPLAT stand for
Symptoms Previous falls Location Activity they were doing when it occurred Time of day
What is a fall diary
record pt. keeps of falls to figure out why they are falling
What are internal factors to falls
disease process
What can help prevent internal factors from causing falls
assistive devices to aid in mobility
What to do to prevent external factors from affecting falls
modify their surroundings
do a home assessment
What are activites and exercise programs to prevent falls
Gait and balance
Tai Chi
Teach how to get up from the floor if they fall
What are restraints
any device that is used to inhibit a persons free physical movement including devices, materials and equipment that are attached to the body, prevent free bodily movt, cant be removed by resident
What are the 2 types of restraints
Physical- belts,, harnesses, bed rails
Chemical- drugs
What are restraints used
prevent harm and promote safety prevent falls prevent wandering deal w/ agitated residents reduce nursing staff/time legal liability
What are the physical affects of restraints
decrease circulation increase incontinence increase bed sores lack of hunger constipated
What doe restraints negatively affect
dignity
autonomy
independence
self esteem
What are the psychological/behavioral affects of restraints
social isolation
embarrassed
may be fearful
resentment
What are the legal implications of restraints
people have a right to be free of restraints
can’t be used for treatment, discipline, or convenience
What are some alternative to restraints
volunteers, fam, friends physical and diversionary activities psychosocial interventions environmental approaches meet physiological needs provide staff training and ed
How to reduce use of restraints
develop a restraint reduction program
develop a policy under which they may be used
choose one unit at a time (reduce gradually)
What are reactions to loss
cognitive
affective
behavioral
somatic
What factors are involved in falls
Internal
external
fear of falling
