Chapter 11. Preventing Falls. Copyright 2019 by Elsevier, Inc. All rights reserved.
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1 Chapter 11 Preventing Falls Copyright 2019 by Elsevier, Inc. All rights reserved.
2 Lesson 11.1 Define the key terms and key abbreviations in this chapter. Identify the causes and risk factors for falls. Describe the safety measures that prevent falls. Explain how to use bed and chair alarms safely. Explain how to use bed rails safely. Copyright 2019 by Elsevier, Inc. All rights reserved. 2
3 Lesson 11.1 (Cont.) Explain the purpose of hand rails and grab bars. Explain how to use wheel locks safely. Describe how to use transfer/gait belts. Explain how to help the person who is falling. Perform the procedures described in this chapter. Explain how to promote PRIDE in the person, the family, and yourself. Copyright 2019 by Elsevier, Inc. All rights reserved. 3
4 Causes and Risk Factors for Falls The risk of falling increases with age. A history of falls increases the risk of falling again. Most falls occur: In patient and resident rooms and in bathrooms Between 1800 (6:00 PM) and 2100 (9:00 PM) During shift changes Agencies have fall prevention programs. The care plan lists measures for the person s risk factors. Copyright 2019 by Elsevier, Inc. All rights reserved. 4
5 Fall Prevention Programs Agencies have fall prevention programs. The care plan also lists measures for the person s risk factors. Copyright 2019 by Elsevier, Inc. All rights reserved. 5
6 Bed and Chair Alarms Bed and chair alarms alert that the person is moving from the bed or the chair The device attaches to clothing and makes a sound: alarm, beep, chime, music, etc. Alarms do not replace close observation. Copyright 2019 by Elsevier, Inc. All rights reserved. 6
7 Bed Rails A bed rail (side rail) is a device that serves as a guard or barrier along the side of the bed. The nurse and care plan tell you when to raise bed rails. If a person needs bed rails, keep them up at all times except when giving bedside nursing care. Copyright 2019 by Elsevier, Inc. All rights reserved. 7
8 Bed Rails (Cont.) Bed rails present hazards. The person can fall when trying to climb over them. The person cannot get out of bed or use the bathroom. Entrapment is a risk. Bed rails are considered to be restraints if: The person cannot get out of bed. The person cannot lower them without help. Copyright 2019 by Elsevier, Inc. All rights reserved. 8
9 Bed Rails (Cont.) Bed rails cannot be used unless needed to treat a person s medical symptoms. They must be in the person s best interests. The person or legal representative must give consent for raised bed rails. The need for bed rails is carefully noted in the person s medical record and the care plan. The nurse, the care plan, and your assignment sheet tell you which people use bed rails. If a person uses bed rails, check the person often. Report to the nurse that you checked the person. Copyright 2019 by Elsevier, Inc. All rights reserved. 9
10 Hand Rails and Grab Bars Hand rails are in hallways and stairways. They give support to persons who are weak or unsteady when walking. Grab bars (safety bars) are in bathrooms and in shower/tub rooms. They provide support for: Sitting down or getting up from a toilet Getting in and out of the shower or tub Copyright 2019 by Elsevier, Inc. All rights reserved. 10
11 Wheel Locks Bed legs have wheels. Each wheel has a lock to prevent the bed from moving. Wheels are locked at all times except when moving the bed. Make sure bed wheels are locked: When giving bedside care When you transfer a person to and from the bed Wheelchair and stretcher wheels are locked during transfers. Copyright 2019 by Elsevier, Inc. All rights reserved. 11
12 Transfer/Gait Belts A transfer belt (gait belt) is a device used to support a person who is unsteady or disabled. It helps prevent falls and injuries. The belt goes around the person s waist. Grasp under the belt: To support the person during the transfer When assisting the person to walk Copyright 2019 by Elsevier, Inc. All rights reserved. 12
13 The Falling Person A person may start to fall when standing or walking. Do not try to prevent the fall. If a person starts to fall, ease him or her to the floor. Do not let the person move or get up before the nurse checks for injuries. If you find a person on the floor, do not move the person. Stay with the person, and call for the nurse. Copyright 2019 by Elsevier, Inc. All rights reserved. 13
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