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1. Fall Prevention i. Remove items that could cause the client to trip(throw
a. In Homes: rugs and loose carpets) ii. Place electrical cords and
extension cords against a wall behind furniture iii. Monitor
gait and balance, and provide aids as needed
iv. Make sure that steps and sidewalks are in good repair
Place grab bars near the toilet and in the tub or shower and
install a stool riser
,Fall Prevention i. Fall bracelets and yellow socks ii. Bed alarm iii. Remove
In Hospitals clutter iv. Keep items within reach(call light, personal
items) v. Gait Belts vi. "Call, don't fall"
1. Orient them to the call light and educate them to use call
light to get help rather than getting up without assistance.
Nurses should respond to call light in a timely manner vii.
Put them in room close to nurses station viii. Have good
lighting (especially at night) ix. BEDS:
1. Put in low position
2. Lock wheels
3. Use side rails appropriately
1. Home Safety 1. Keep firearms unloaded, locked up, and out ofreach
a. Preschoolers and 2. Teach to never touch a gun or stay at a friend'shouse
School Age Children i. where a gun is accessible
Firearms
3. Store bullets in a different locations from guns
1. Home Safety 1. Teach child about the hazards of alcohol, cigarettes, and
a. Preschoolers and prescription, non-prescription, and illicit drugs 2. Keep
School Age Children i. potentially dangerous substances out of reach
Poison Have the poison control hotline number available
,1. Home Safety 1. Use booster seats for children who are less than 4ft9in tall
a. Preschoolers and and weigh less than 40lbs(usually 4 to 8 years old)
School Age Children i. 2. If the care has a passenger air bag, place childrenunder 12
Motor Vehicles
yrs in the back seat
3. Use seatbelts properly after booster seats are nolonger
necessary
4. Use protective equipment when participating insports,
riding a bike, or riding as passenger on a bike 5. Supervise and
teach safe use of equipment
6. Teach the child to play in safe areas and never runafter a
ball or toy that goes into a road
7. Teach child safety rules of the road.
a. Look both ways before crossing road
a. Fire Safety 1. Where the exit plan in
i. Elements of Home 2. Oxygen safety measures
Safety Plan 3. Fire extinguishers and everyone knows therelocation
Smoke detectors need batteries checked every 6 mos
a. should be close to the base of support (below theumbilicus
at the top of the pelvis)
1. Center of Gravity
b. spread feet, wide base of support
c. hold objects close to you
, Bathing a. Bathe clients to cleanse the body, stimulate circulation,
provide relaxation, and enhance healing. b. Bathing clients
is often delegated to the assistive personnel. However, the
nurse is responsible for data collection and client care
c. Bathe clients whose health problems have exhausted
them or limited their mobility.
i. Give a complete bath to clients who can tolerate it and
who hygiene needs warrant it ii. Allow rest periods for
clients who become tired during bathing iii. Partial baths are
useful when clients cannot tolerate a complete bath, need
particular, cleansing of odorous or uncomfortable areas, or
can perform part of the bath independently.
iv. Therapeutic baths are used to promote comfort and
provide treatment (soothing itchy skin)
Bed Bath: i. Ensure privacy ii. Start with face then arms and chest,
then go to legs and feet, and then finally perineal. iii.
Encourage patient to participate:
1. Wash their face and perineal area
2. usually set up the washcloth for them and allowthem to
do what they can and help with what they can't allowing
them the independence they still have.
"we'll work together"
3. Brush their own teeth
a. Prevents skin breakdown, pain, and infection
b. Is extremely important for clients with diabetesmellitus
and a qualified professional must perform it. c. Scrub
Foot Care between toes
d. Don't clip nails but file if needed.
e. Check for sores, signs of cyanosis, and skin
breakdown