Week 5 Immobility, falls and Meds part 2 Flashcards
What degree should the bed be for fowler’s
head of bed = 40-60 degrees
what degree should the bed be for high fowler’s
head of bed = 90 degrees
What should the angle of the bed be for lateral (side-lying)
30 degrees
What is semi prone for
used for procedures not as much for comfort
What are some things you should pay attention to before getting the patient out of bed
- assess readiness
- obtain equipment and assistance
- clear pathway
- be sure floor is not slippery
- use a transfer belt
- have a chair or additional assistance available
What are some things to pay attention to during ambulation
- observe for weakness and fatigue
- move gradually
- use assistive devices
What are fall risk factors
- recent change in functional status
- history of recent falls
- age and age related changes (vision or gait and balance)
- mental status
- immobility and mobility
- medication side effects (dizziness)
- Fluid balance (diuresis, dehydration)
- tubes (IV, catheters, chest tubes, oxygen)
- cluttered rooms, no clear pathway
- toileting (#1 place of falls)
- unfamiliar setting (including bed)
What are the categories of the Morse fall scale?
Does higher or lower score indicate higher risk?
- hx of falling, secondary diagnosis, ambulatory aid, IV therapy/saline lock, gait, mental status
higher the score, greater the risk
What are some things that you can do during hourly rounding
- proactive toileting
- assess needs
- call bell and personal items in reach
What are some ways to prevent falls at home
- grab bars in bathroom
- railing on stairways
- improve lighting
- prevention/management osteoporosis
What are the managements of falls
- full assessment (do this first)
- safe transfer back to bed
- treatment of complications of falls
- incident report
- reflection
What does the US drug legislation take care of
- sets official drug standards
- defines prescription drugs
- regulates controlled substances
- improves safety
- requires proof of efficacy
What is pharmacokinetics
What happens to the drug in the body (absorption, distribution, metabolism, and excretion)
What is pharmacodynamics
How does the drug affect the body
What are some reasons that medication errors may occur
- lack of knowledge or information
- faulty communication
- equipment errors
- calculation and measurement errors
- other
