Nursing Care for Risk for Falls Singapore
Risk for Fall or Falls is a NANDA diagnosis that is very common among hospitals especially to older age or adults men or women patients with certain impaired physical conditions and medical diagnosis. Fall may cause unwanted injuries. This injury can be a ground for legal actions if proven that there is a breach in practice of the health care staff. Thus, safety should be the top or main priority for future injury prevention. Risk for Fall is not a prioritized NANDA diagnosis in nursing care plan because it’s only a RISK and not an ACT UAL problem. However, outcomes should not be based on whether it is a risk or actual problem.
CausesPatients who are at risk for fall are usually those related to neurologic and cardiovascular disorders. Post-operative patients are also at risk depending on the site of the operation. Usually stroke patients are the best example for this with acute risk because of their weaker side of the body. People with disorientation and eye problems are also at risk for injury. Older people with dementia are usually at risk for disorientation and may cause apprehension when admitted. Student nurses must help these patients prevent from falling.
Nursing Care PlanIn order to have better and appropriate clinical outcomes, the nursing staff must monitor a new patient’s risk for fall risk assessment daily which can be available in some hospitals depending on the protocol. This is a sheet of paper where the nurses compute the patient’s total risk. Raising the side rails which is a standard protocol can also help the patient. For those with decreased mobility, the nurse can refer the patient to rehabilitation medicine (as ordered) for guide on how to strengthen their extremities such as on how to use the walker and proper ambulation. Orientation of the patient to use of call bell is also important in the event the patient needs something. For those who are disoriented, there must be relative who can look at their loved ones or better place them in ICU if they are critical. Other nursing interventions include health education before the patient goes home.
ConclusionRisk for fall must be prevented in hospital settings as much as possible. Free resources can always be asked and referred to a patient who is at risk for fall. For more help and information, there are online articles and lit nti websites which can be accessed in the internet.
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