cec med 4 fall event 3
DESCRIPTION
CEC med 4 Fall Event 3TRANSCRIPT
Falls Prevention Session 3
Self Assessment Quiz
Complete
Fall Event 3A
This is an example of a real fall event.
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Fall Event 3B
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Discussion
• How do you engage an independent
person about using a mobility aid?
• What are the issues regarding continence
and management for this patient?
• What SAC would you give this fall?
Post Falls Management - Unwitnessed
Special consideration patients on anticoagulants
1. Do not move, Call for assistance - REASSURE2. Baseline vital signs, initial GCS3. Clean Wounds 4. Observe for change in behaviour5. Call Medical Officer for review and treatment6. Liaise for appropriate test and notify registrar/consultant7. Hourly Neurological observation for 4 hours and review continuing
for 24 hrs (important in older people) 8. Notify family9. IIMS report Document etc10. Reassess for Falls Risk and communicate to all staff
Fall Event 3C
Please click on rectangle in the centre of the screen to view video
Discussion
• How do you make the ward area as safe as
possible?
• How do you assess for safe foot wear and
when would you use non-slip socks?
Flowchart
Question 1How can you flag a patient’s fall risk to other staff?
a. patient notes
b. staff handover discussion
c. patient transfer notes
d. patient discharge summary
e. Putting the patient in a designated falls
bay
f. All of the above
Quiz Review
Question 2What co-morbidities might increase a patient’s falls risk?
a. Cardiovascular disease ( affecting
blood pressure, syncope risk,
dizziness)True False
b. Cerebrovascular disease ( stroke), True False
c. Parkinsons, MS affecting balance True False
d. Cancer- palliative care patient-
overall body weakness and fatigue True False
e. Urinary tract infection True False
Quiz Review
Mobilisation Toileting Medication Cognition Ward Areas Restraint
Summary
• How do you care for cognitively intact patients
with mobility problems?• Educate in use of mobility aids• Ensure they have safe footwear• Room is free of clutter, floor surfaces clean• Patient can safely access personal items• Call bell in easy reach