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So we're going to go ahead and get through our care plan. We're going to talk about subjective data and some objective data. So what are we going to see with these patients? You're going to notice they're going to have some weakness and some possible dizziness. Some objective data can be hypotensive and confusion. Some others are a sensory deficit or an unsteady gait.
So interventions. We want to apply a risk for fall band - those yellow risk for fall bands. You want to make sure that this alerts the staff that this patient's at risk for fall. Another intervention. We want to instruct the patient to use the call light for assistance before getting up for anything. Patient safety is number one priority. We want to make sure that they have assistance to do anything and are able to avoid falling. Another intervention we want to do. We want to place the patient close to the nurses' station. This provides increased observation and better ability for the nurse to respond quickly to the patient. If needed another mention, we want to make sure that we're activating the bed alarms, chair alarms, and making sure the bed's in the lowest position. Also, making sure we have fall mats on the floor and that a patient is wearing non-skid socks. Whenever alarms go off, we want to make sure we're helping prevent a fall from happening. And we want to make sure that the patient is wearing those non-skid socks, which allows them to not slip when they're walking. We want to make sure we're locking the better chair wheels in place. Furniture moving while a patient's trying to sit down or sit up may cause them to lose their balance and fall. So we want to make sure we're avoiding that. So make sure we keep those locked. Another intervention we want to do. We want to make sure we're placing personal items within reach for the patient. Trying to reach for items on the table or somewhere else in the room for a patient can cause them to lose their balance and fall. We want to make sure we try to avoid that from happening. And the last thing we want to think about are PT and OT consults.So frequent exercises and gate training may help improve muscle strength and balance for these patients. It'll decrease their fall risk. Also, using things such as canes, walkers, and chairs may be necessary for these patients.
Alright, we're going to go over some key points. So the risk of falling is due to a decreased physiologic reserve. There are multiple causes for people to fall that include intrinsic extrinsic and behavioral factors. Some subjective and objective data. You may see that they have some weakness, dizziness, hypotension, confusion, sensory deficit, and unsteady gait. We want to make sure we have safety precautions. So risk for fall bands. Use of that call light. Place the patient near the nurses' station so that you can see them more closely. Activate the bed alarm, the chair alarm, making sure you're locking the wheels on the chairs and the bed. Placing that fall mat down and putting those non-skid socks on a patient. All are good safety measures to put in place. We want to make sure items are within reach and that you're getting those OT and PT consults. And that is the end of that care plan for you.
Awesome job. We'd love you guys. Go out. Be your best self today and as always happy nursing.
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