Module 4

Question 0

What is the Hendrich II fall model?

Answer 0

• It evaluates 8 risk factors, which help determine patients who are at a high risk for falls.
• 0-4 = low risk, 5 or higher = high risk

Question 1

Are men or women more likely to die from a fall?

Answer 1

Men are 34% more likely to die from a fall

Question 2

Restraint

Answer 2

A physical or mechanical device used to limit or prevent a patient’s movement

Question 3

Guidelines for using restraints

Answer 3

1. The patient and family must be told the reasons for use
2. Should be used as a last resort and should be discontinued as soon
   as possible
3. Restraints require a HCP order at least every 24 hours
4. The least restrictive restraint should be tried first
5. The patient must be assessed for skin integrity, hydration, toileting,
   at least every hour and restraint removed every shift
6. Restraints must be removed with an alternative tried at least every
   shift to confirm the need

Question 4

What does PERSON stand for?

Answer 4

P - psychosocial needs
E - elimination needs (GI, GU)
R - rest, regulatory, reproduction needs
S - safety, sensory, skin needs
O - oxygenation needs
N - nutrition needs