Falls Risk Case Study

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Nursing for Health and Wellbeing 2011 Student Name: Deepa Khanal Student Number: 1714690 Patient name: Mr. Sylvester Nursing Issue: Increased susceptibility of falling that may cause physical harm. Nursing Diagnosis: Increased risk of fall related to recent history of falls, lack of family support, environmental factors and poor vision as evidenced by subjective complaints of history of few falls lately, inability to contact daughter in time, multiple steps at veranda and backyard, disarranged furniture and multiple boxes at home and inability see well enough and read anymore. Goals: To minimize the risks of fall.…show more content…
|Assess patient for falls risk in relation to the patient's risk factors (such as age |Effective fall prevention strategies must commence with the nurse assessing the patient risk | | |factor, vision, mobility status, mental status, balance) and the risks associated with|factors associated with the fall (McNamara, 2011). | | |the environment (McNamara, 2011). | | | | |Timely falls risk assessment provides baseline data for need of appropriate intervention and | | | |management strategies for high falls risk patients (Ackely & Ladwig, 2008). | | | |…show more content…
Sylvester’s gerontological changes such as impaired vision, poor hearing, decreased muscular | | | |strength, impaired mobility and decrease resistance and delay in response to stimuli, such as | | | |difficulty in answering his daughter’s phone directly reflects the physical and mental changes | | | |according to his age (Gulanick & Myers, 2010; Colbert, Ankney, & Lee, 2007). | |3 |Record history of fall to find out preexisting symptoms. |Patients with one or more fall in the past have more probability of falling in the future (Juall &| | | |Moyet, 2010).
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