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Flashcards in Falls Deck (20):
1

What is the most common cause f TBI

Falls

2

What is the #1 predictor of falls

previous falls

3

What should you look at in a fall assessment

identify those at risk
med hx, physical and functional assessments, general mobility
environmental assessment
fall history

4

What does SPLAT stand for

Symptoms
Previous falls
Location
Activity they were doing when it occurred
Time of day

5

What is a fall diary

record pt. keeps of falls to figure out why they are falling

6

What are internal factors to falls

disease process

7

What can help prevent internal factors from causing falls

assistive devices to aid in mobility

8

What to do to prevent external factors from affecting falls

modify their surroundings
do a home assessment

9

What are activites and exercise programs to prevent falls

Gait and balance
Tai Chi
Teach how to get up from the floor if they fall

10

What are restraints

any device that is used to inhibit a persons free physical movement including devices, materials and equipment that are attached to the body, prevent free bodily movt, cant be removed by resident

11

What are the 2 types of restraints

Physical- belts,, harnesses, bed rails
Chemical- drugs

12

What are restraints used

prevent harm and promote safety
prevent falls
prevent wandering
deal w/ agitated residents
reduce nursing staff/time
legal liability

13

What are the physical affects of restraints

decrease circulation
increase incontinence
increase bed sores
lack of hunger
constipated

14

What doe restraints negatively affect

dignity
autonomy
independence
self esteem

15

What are the psychological/behavioral affects of restraints

social isolation
embarrassed
may be fearful
resentment

16

What are the legal implications of restraints

people have a right to be free of restraints
can't be used for treatment, discipline, or convenience

17

What are some alternative to restraints

volunteers, fam, friends
physical and diversionary activities
psychosocial interventions
environmental approaches
meet physiological needs
provide staff training and ed

18

How to reduce use of restraints

develop a restraint reduction program
develop a policy under which they may be used
choose one unit at a time (reduce gradually)

19

What are reactions to loss

cognitive
affective
behavioral
somatic

20

What factors are involved in falls

Internal
external
fear of falling