cec med 4 fall event 3

Falls Prevention Session 3

Self Assessment Quiz

Complete

Fall Event 3A

This is an example of a real fall event.

Please click on rectangle in the centre of the screen to view video

Fall Event 3B

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Discussion

• How do you engage an independent

person about using a mobility aid?

• What are the issues regarding continence

and management for this patient?

• What SAC would you give this fall?

Post Falls Management - Unwitnessed

Special consideration patients on anticoagulants

1. Do not move, Call for assistance - REASSURE2. Baseline vital signs, initial GCS3. Clean Wounds 4. Observe for change in behaviour5. Call Medical Officer for review and treatment6. Liaise for appropriate test and notify registrar/consultant7. Hourly Neurological observation for 4 hours and review continuing

for 24 hrs (important in older people) 8. Notify family9. IIMS report Document etc10. Reassess for Falls Risk and communicate to all staff

Fall Event 3C

Please click on rectangle in the centre of the screen to view video

Discussion

• How do you make the ward area as safe as

possible?

• How do you assess for safe foot wear and

when would you use non-slip socks?

Flowchart

Question 1How can you flag a patient’s fall risk to other staff?

a. patient notes

b. staff handover discussion

c. patient transfer notes

d. patient discharge summary

e. Putting the patient in a designated falls

bay

f. All of the above

Quiz Review

Question 2What co-morbidities might increase a patient’s falls risk?

a. Cardiovascular disease ( affecting

blood pressure, syncope risk,

dizziness)True False

b. Cerebrovascular disease ( stroke), True False

c. Parkinsons, MS affecting balance True False

d. Cancer- palliative care patient-

overall body weakness and fatigue True False

e. Urinary tract infection True False

Quiz Review

Mobilisation Toileting Medication Cognition Ward Areas Restraint

Summary

• How do you care for cognitively intact patients

with mobility problems?• Educate in use of mobility aids• Ensure they have safe footwear• Room is free of clutter, floor surfaces clean• Patient can safely access personal items• Call bell in easy reach