mna m osby ’ s long term care assistant chapter 13 preventing falls
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MNAMosby’s Long Term Care Assistant Chapter 13Preventing Falls
Preventing Falls
Most common accident in LTCF
Most occur between 6 pm - 9 pm
Many prevention actions
Preventing Falls
Prevention actions:Frequent observation
Good lighting
Hand rails
No rugs
Carpets are one color
Non-slip surfaces
No clutter in rooms or halls
Armrest on chairs
Nonskid foot ware
Preventing Falls
Prevention actions:Proper fitting clothes
Glasses and hearing aids applied
Signal light within reach
Chair Alarm – answer immediately
Companionship
Assistance with elimination needs at regular intervals
Barriers for wandering
Bed in lowest horizontal position
Brakes on beds and chairs
Preventing Falls
Many prevention actions:
Side rails
Check care plan
Entrapment?
False imprisonment?
Possible Solution?
Place mattress on floor
Preventing Falls
Remember
Side rails are considered restraints by OBRA
Must obtain consent to use rails
Need for SR must be noted in care plan
Bed bar
Preventing Falls
Gait belts or transfer belt is used to support unsteady person
Ambulating?
Gait belt
Moving?
Transfere belt
Apply over clothing
Review
Adequate lightening helps prevent falls.
True False
Review
The risk of falls decreases with age
True False
Review
The greatest risk from bedrails is
entrapment
You are assisting a resident to the bathroom. He starts to fall. What should you do?
Ease the person to the floor
Review
Persons at risk for falling should stay in their rooms
True False
Review
OBRA requires the use of bedrails for all patients.
True False
Review
Area rugs help prevent falls.
True False
Questions?
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