Question

questions regarding your Clinical assignment While in the reduction and intera assignment: You will be caring for Mrs. Lloyd, on 82 year old female who has been hospitalized due to stroke le in the hospital, she thed to get up alone and fell, resulting in a left hip fracture. Two days ago, she had an open Juction and internal fixation on her hip, a surgery to repair the fractured portion of her fernur and ocetabulum. wwconfused at times, especially at night. She nearly fell in westerday when the bed monitor was occidentally che bed and she attempted to get up. Her family is understandably very upset. 1. What patient fall assessment rating scales will you use on Mrs. Lloyd? 2. What factors contribute to an unsafe environment for the patient? 3. If a patient falls, what actions will you take as a nurse? 4. As a nurse, what actions will you take to prevent another fall?

please do the 1,2,3,4
thank you so much

Answer 1

1, Morse fall assessment scale help identifying fall risk for hospitalized patients. this score help to avoid further falls in the future. this scale help to identify the risk factors and plan care for addressing those risk.
2, the patient has a history of stroke, so there is an impaired walking pattern and balance. when the patient tried to get up alone patient has a fall due to poor coordination. the second fall due to bed monitor left off the patient had fallen. bed alarm system reduces the fall when the patient needs assistance.
3, -Call for help
- check patient vital signs, radial and apical pulse and breathing pattern.
-check the skin for brushing, trauma, abrasion, redness, pallor, swelling and tenderness and shortening of the bone.
-Do neurological assessment and movement of lower extremities.
-Inform the fall to the risk manager
-Once the patient stable in the bed ensures the patient's vitals are stable and do further investigation to find the fall signs.
-check the patient's level of consciousness.
-document a fall, provide appropriate nursing care, enter the fall incidence to EHR.
-educate the patient about the cause of falls and associated symptoms.
4, -be aware of patient high-risk fall factors
-Provide adequate safety equipment, side rails, and people around them.
-educate the patient and family about fall prevention
-Set bed alarm default time interval and use call light when patient need help
-advise the family to remain with the patient.
-advise the family to call for help if the patient needs any assistance.