cec med 5 fall event 4
DESCRIPTION
CEC med 5 Fall Event 4TRANSCRIPT
Falls PreventionSession 4
Self Assessment Quiz
Complete
Fall Event 4A
This is an example of a real fall event.
Please click on rectangle in the centre of the screen to view video
Fall Event 4B
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Discussion
• Why did she fall?
• Low blood pressure
• Weak – loss of muscle/ loosing weight/
dehydration
• What SAC score would you give this fall?
Witnessed Fall - Post Falls Management
1. Do not move, Call for assistance - REASSURE2. Baseline vital signs, initial GCS3. Clean Wounds 4. Call Medical Officer for review and treatment5. Liaise for appropriate test and notify registrar/consultant6. Monitor Vital signs for 24 hrs (important in older people) 7. Notify family8. Flag as high falls risk as per hospital policy9. IIMS report Document etc10. Reassess for Falls Risk and implement strategies and
communicate to all staff
Fall Event 4C
Please click on rectangle in the centre of the screen to view video
Discussion
• BP has been low – should you sit patients
for a while before standing?
• Loss of weight –leads to loss of strength
and weakness, what strategies would you
implement?
• Do you use walking belts for patients with
similar symptoms?
Flowchart
Question 1a. Should a nurse catch a patient falling to
the floor?True False
b. Older patients involved in toileting are
at higher risk of having a fall?True False
c. The majority of patient falls in hospital
are not witnessedTrue False
d. The likelihood of a patient over
65years having a fall in hospital is 1 in
10 ?
True False
Quiz Review
Question 2Patient falls risk screening should be undertaken?
a. on admission to hospital for all
persons over 65 yearsTrue False
b. in the emergency department for
all persons over 70 yearsTrue False
c. on admission to a nursing home True False
d. by general practitioner for
patients over 65 years who have
had a recent fall
True False
e. all of the above True False
Quiz Review
Mobilisation Toileting Medication Cognition Ward Areas Restraint
Summary
• Sit patients with low BP on edge of bed
for a few minutes before standing
• Review of weight loss and causes
• A simple assessment for mobility/balance
is standing the patient beside the bed and
walking on the spot.