Final xam PN1

-Doing a falls ass ssm nt do s NOTHING to pr v nt falls *Wh n w impl m nt int rv ntions bas d on findings that w r duc th risk of falls* M dications and fall risks - Opioids, diur tics, anti-hyp rt nsiv s (orthostatic hypot nsion), psychotropics, CNS d pr ssants * ld rly hav MUCH gr at r sid - ff cts than "av rag " ag p opl * Assistiv D vic s - Can s/Stairs; Up with th strong, down with th w ak/bad l g Crutch s: Crutch th n foot going down stairs, Foot th n crutch s going up stairs. Good on to h av n, bad on to h ll? R straints - You may d l gat to th NAP th application and p riodic r moval of ord r d r straints, aft r v rifying that th NAP has th knowl dg and skill to do so. Us a quick-r l as knot, such as th half-bow, wh n tying r straints to th b d fram or wh lchair. Do not ti r straints to th sid rails. Ch ck th r straint v ry 30 minut s (mor oft n for a b havioral r straint). R l as th r straint to ass ss circulation, th pati nt's r spons to th int rv ntion, and th n d for continuing th us of th r straint v ry 2 hours; r mov it wh n it is no long r n d d. Ch ck v ry 24 hours to s that th r straint pr scription has b n r n w d. D v loping risk factors for saf ty Infants/Toddl rs - -Cannot r cogniz dang r -Tactil xploration of nvironm nt -Totally d p nd nt ( drowning, choking, and poisoning) Motor v hicl accid nts ar th l ading caus of d ath for childr n ag s 1 to 3, follow d by drowning. Falls, choking, sudd n infant d ath syndrom (SIDS), and ing sting poisons ar oth r critical saf ty conc rns. Infants and toddl rs ar compl t ly d p nd nt on oth rs for th ir car . D v loping risk factors for saf ty Pr school rs - -Play xt nds to outdoors -Mor adv nturous -Accid nts, choking, poisoning Motor v hicl injuri s ar a major caus of accid ntal d ath, along with drowning, fir s, and poisoning. Falls ar th primary caus of nonfatal injuri s. D v loping risk factors for saf ty School-Ag Childr n - -Try n w activiti s without practic -Mor tim outsid th hom -Strang r dang r Motor v hicl s continu to b th l ading caus of accid ntal d ath in this ag group. Th l ading caus of nonfatal injury is falls. School-ag childr n hav d v lop d mor r fin d muscl coordination and control, and th ir d cision-making skills hav improv d. D v loping risk factors for saf ty Adol sc nts - -Fals confid nc ; f l ind structibl -Risk-taking b haviors -Most lack adult judgm nt Th l ading caus of d ath in this group is motor v hicl accid nts, follow d by homicid —both fr qu ntly associat d with alcohol and drug us . Sports and r cr ational injuri s, including diving and drowning incid nts ar also common, sp cially wh n drinking and drug us ar involv d. D v loping risk factors for saf ty Adults - -May b xpos d to injury in th workplac -Lif styl choic s impact h alth -Som d clin in str ngth and stamina; oth rs maintain fitn ss Among p opl 35 to 54 y ars old, unint ntional poisoning caus s mor d aths than motor v hicl accid nts. Workplac injury may also b a significant conc rn. Oth r injuri s to adults ar r lat d to lif styl ( .g., xc ssiv alcohol us ), str ss, car l ssn ss, abus , and d clin in str ngth and stamina. D v loping risk factors for saf ty ld rly - -Loss of muscl str ngth, joint mobility; slowing r fl x s; s nsory loss s (i . Diminishing vision). Fall risk incr as s( .g., r duc d muscl str ngth and joint mobility; slowing of r fl x s; d cr as d ability to r spond to multipl stimuli; and s nsory loss s, particularly h aring and vision). S ntin l/N ar-miss v nts - h althcar -acquir d complications that can caus s rious injury or d ath to a pati nt, and should n v r happ n in a hospital. -For ign obj ct l ft in pati nts aft r surg ry - Air mbolism -Administ ring th wrong typ of blood -S v r pr ssur ulc rs