Question

please provide implementation of each intervention.

1. post signs or use wristband identification to identify patient at risk for falls and to remind health care provider to implement fall precaution behavior.

2. encourage patient to participate in a program of regular exercise and gait training.

3. Answer light immediately. Help the incontinent patient to toilet every 1-2 hrs.

Answer 1

Implementation of interventions:

1. The vulnerable groups like geriatric > 60 yrs, pediatric < 16 yrs, pregnant women, ICU patients, post operative / surgery patients are at high risk of fall. First identify the client who are at risk and keep patient first card at the bed side...According to many regulations Yellow coloured wrist band is tied to right hand of patient as an indication for fall. It helps to remind all other health care providers that the patient is at risk of fall by seeing the yellow wrist band and patient first card.

2. The patients who are at risk are to be encouraged to participate in a regular exercises to improve balance, strength and flexibility. The exercises include sit to stand exercise, feet apart and together for 10 seconds each, standing marches, single - leg stands, foot taps etc..The gait training is to be given with the help assistive devices like canes, crutches or stand etc.

3. The patients who are at risk are to be explained about the surrounding environment like bed light switches, comfort / assitive devices, calling bell with light or button should be in reach of client. Adequate lighting is to be provided .Whenever client calls by using call bell answer the light immediately to prevent client from failing and always the bed is to be positioned and side rails are to be raised . Every 1-2 hrs attend the urine incontinent patient and ask for toileting as they are at risk of fall. Assist the client to the washroom and explain the client about the call bell and hand holders use in the toilet. And ask the client to call immediately for help.