Question

A) Address one of the posts (either #1 or #2 below) by identifying which of the nursing interventions listed would be the most effective.

B) Please provide a rationale for your assessment of their interventions.

#1) Nursing intervention is: a "fall precaution" sign on the doorway and using a "high-risk fall" armband and room sign to alert staff for increased vigilance and mobility assistance. (Ackley & Ladwig, 2014) having these procedures in place during admission alerts the nursing staff of the increase risk for falls and notifies them to be on high alert around these clients in the event that they look unstable, to help them with ambulation or activity. 

#2) Nursing intervention is: Routinely assist the client with toileting on his own schedule, always on awakening, before bedtime, before administering sedatives. (Ackley & Ladwig, 2014) Having a regular toileting schedule helps the client from falling by preventing the confused client going into the bathroom alone and potentially falling. Refer to physical therapy for strengthening exercise, gait training, and help with balance to increase mobility. (Ackley & Ladwig, 2014) Balance, gait training and strengthening exercise can help improve K.B.'s muscle coordination and help prevent falls.

Answer 1

#2

- Routinely assist the client with toileting on his own schedule, always on awakening, before bedtime, before administering sedatives is an effective intervention than physical therapy and gait training.

It's because there is a particular time, which gives the nurse a prior idea about the regular time and helps the nurse to make a schedule. so, It prevents the confused client from going out of bed into the bathroom alone and potentially falling.

Gait training and other strengthening exercises help the patient but still, there is a risk because the client is confused and he already has some underlying condition or disease, so its always good that a assistant always preaent with a patient to assist his mobility.