Falls Flashcards

1
Q

What is the most common cause f TBI

A

Falls

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2
Q

What is the #1 predictor of falls

A

previous falls

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3
Q

What should you look at in a fall assessment

A

identify those at risk
med hx, physical and functional assessments, general mobility
environmental assessment
fall history

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4
Q

What does SPLAT stand for

A
Symptoms 
Previous falls
Location
Activity they were doing when it occurred
Time of day
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5
Q

What is a fall diary

A

record pt. keeps of falls to figure out why they are falling

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6
Q

What are internal factors to falls

A

disease process

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7
Q

What can help prevent internal factors from causing falls

A

assistive devices to aid in mobility

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8
Q

What to do to prevent external factors from affecting falls

A

modify their surroundings

do a home assessment

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9
Q

What are activites and exercise programs to prevent falls

A

Gait and balance
Tai Chi
Teach how to get up from the floor if they fall

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10
Q

What are restraints

A

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

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11
Q

What are the 2 types of restraints

A

Physical- belts,, harnesses, bed rails

Chemical- drugs

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12
Q

What are restraints used

A
prevent harm and promote safety
prevent falls
prevent wandering
deal w/ agitated residents 
reduce nursing staff/time
legal liability
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13
Q

What are the physical affects of restraints

A
decrease circulation 
increase incontinence
increase bed sores 
lack of hunger
constipated
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14
Q

What doe restraints negatively affect

A

dignity
autonomy
independence
self esteem

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15
Q

What are the psychological/behavioral affects of restraints

A

social isolation
embarrassed
may be fearful
resentment

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16
Q

What are the legal implications of restraints

A

people have a right to be free of restraints

can’t be used for treatment, discipline, or convenience

17
Q

What are some alternative to restraints

A
volunteers, fam, friends
physical and diversionary activities
psychosocial interventions 
environmental approaches
meet physiological needs
provide staff training and ed
18
Q

How to reduce use of restraints

A

develop a restraint reduction program
develop a policy under which they may be used
choose one unit at a time (reduce gradually)

19
Q

What are reactions to loss

A

cognitive
affective
behavioral
somatic

20
Q

What factors are involved in falls

A

Internal
external
fear of falling