Preventing Falls for Seniors
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Questions and Answers

What should you do if the tip of your cane wears down?

Replace the tip on the cane

What precaution should be taken when using public transportation?

Sit down, even if it means asking someone for their seat

What should be installed in the shower and near the toilet to improve safety?

Grab bars

What should be placed on the floor of the tub or shower?

<p>Nonskid mat or decals</p> Signup and view all the answers

What is a recommended alternative to a loose soap bar in the shower?

<p>Soap-on-a-rope or a suspended container of liquid soap</p> Signup and view all the answers

What should be used to prevent accidents when it is dark?

<p>Flashlight or nightlight</p> Signup and view all the answers

What should be done to ensure pets do not pose a risk of tripping?

<p>Make sure pets are not underfoot</p> Signup and view all the answers

What should be done immediately to prevent accidents?

<p>Mop up spills immediately</p> Signup and view all the answers

What is the purpose of the Nursing Home Reform Law in relation to physical restraints and psychoactive drugs?

<p>To ensure the resident's right to be free from physical restraints and psychoactive drugs imposed for discipline or convenience, and to only use restraints for the resident's physical safety with a physician's written order.</p> Signup and view all the answers

What are the circumstances under which restraints may be imposed on a resident?

<p>To ensure the physical safety of the resident or other residents, and only upon the written order of a physician specifying the duration and circumstances.</p> Signup and view all the answers

What is the purpose of a protocol in the context of restraint use?

<p>A plan or set of steps to follow when implementing an intervention, and in the case of restraint use, it must identify the criteria for application and discontinuation of restraints.</p> Signup and view all the answers

What nonphysical interventions are preferred over physical restraints?

<p>Nonphysical interventions such as reorientation to place and circumstances, or 'time-out' in a quiet room, are preferred.</p> Signup and view all the answers

What must personnel attempt before using restraints on a client attempting to remove an endotracheal tube?

<p>Personnel must first attempt less restrictive measures, such as having someone sit with the client, before using restraints.</p> Signup and view all the answers

What are some helpful devices used to prevent wandering in older adults with dementia?

<p>Specially designed net with a stop sign, bells over doors, disguising exit doors, monitors, identification bracelets, alert/alarm devices, and GPS device</p> Signup and view all the answers

How can special environments be designed to prevent wandering in older adults with dementia?

<p>Design hallways in a circle around nursing stations, allowing the older adult to walk while remaining in view of the nursing staff</p> Signup and view all the answers

Why is early identification important for preventing wandering in older adults with dementia?

<p>Early identification allows proper precautions to be initiated</p> Signup and view all the answers

What program does the Alzheimer’s Association sponsor to facilitate the reporting and return of people with cognitive impairments who become lost?

<p>Safe Return</p> Signup and view all the answers

What service may local police departments provide for older adults with dementia who are at risk of wandering?

<p>Digital photography of the older adult and coded identification bracelets</p> Signup and view all the answers

Why is daily documentation of what a person is wearing helpful for preventing wandering in older adults with dementia?

<p>It helps in identifying the client if they wander</p> Signup and view all the answers

What is the purpose of fitting clients with dementia with a global positioning satellite (GPS) device?

<p>To facilitate locating a missing person</p> Signup and view all the answers

What are some examples of alert devices used to reduce the risk for wandering in older adults with dementia?

<p>Bells over doors, alert/alarm devices, and GPS device</p> Signup and view all the answers

What is the purpose of using a nonskid mat or decals in the shower?

<p>To prevent slipping (B)</p> Signup and view all the answers

Why should a person use a flashlight or nightlight when it is dark?

<p>To prevent accidents or falls (D)</p> Signup and view all the answers

What is the purpose of using long-handled tongs instead of climbing on a chair to reach high objects?

<p>To avoid straining the back (C)</p> Signup and view all the answers

What is the purpose of fitting clients with dementia with a global positioning satellite (GPS) device?

<p>To prevent wandering and assist in locating them if they become lost (A)</p> Signup and view all the answers

Why should physical restraints be avoided in older adults who are confused or cognitively impaired?

<p>To promote mobility and minimize the risk of injury (D)</p> Signup and view all the answers

What is the purpose of using grab bars in the shower and near the toilet?

<p>To provide support and enhance safety during toileting and bathing (C)</p> Signup and view all the answers

Why should chemical restraints be used cautiously in managing clients' behavior or freedom of movement?

<p>To prevent adverse effects on physical health and cognition (B)</p> Signup and view all the answers

What must a physician do within 1 hour after a restraint is initiated?

<p>Renew the medical order (A)</p> Signup and view all the answers

What must be documented in the client's chart regarding a restrained client's condition?

<p>Frequent and regular nursing assessments (B)</p> Signup and view all the answers

What should the nurse record regarding nursing care for a restrained client?

<p>Toileting, nutrition, and hydration (A)</p> Signup and view all the answers

What is the intent of both the OBRA legislation and the TJC standards?

<p>To promote restraint alternatives and eventually restraint-free client care (D)</p> Signup and view all the answers

What is the purpose of the OBRA legislation and the TJC standards?

<p>To provide protective or adaptive devices for client safety (B)</p> Signup and view all the answers

What do both the OBRA legislation and the TJC standards aim to promote?

<p>Restraint-free client care (C)</p> Signup and view all the answers

What type of care should be recorded by the nurse while a client is restrained?

<p>Toileting, nutrition, hydration, and range of motion (D)</p> Signup and view all the answers

What should be present in the client’s chart regarding a restrained client’s condition?

<p>Documented evidence of frequent and regular nursing assessments (D)</p> Signup and view all the answers

What is expected from the nurse regarding nursing records for a restrained client?

<p>Recording toileting, nutrition, hydration, and range of motion care (C)</p> Signup and view all the answers

What is the main purpose of the Nursing Home Reform Law in relation to physical restraints and psychoactive drugs?

<p>To ensure that residents are free from unnecessary physical restraints and psychoactive drugs (B)</p> Signup and view all the answers

Under what circumstances may restraints be imposed on a resident according to the Nursing Home Reform Law?

<p>To treat the resident's medical symptoms (A)</p> Signup and view all the answers

What is the role of a protocol in the context of restraint use?

<p>To specify the circumstances under which restraints are to be used (A)</p> Signup and view all the answers

What is the preferred nonphysical intervention over physical restraints?

<p>Reorienting a person to place and circumstances (B)</p> Signup and view all the answers

During a TJC inspection, what does the accrediting team examine in relation to restraint use?

<p>The agency's protocol for restraint use approved by the medical staff (D)</p> Signup and view all the answers

In the case of a client attempting to remove an endotracheal tube, what must personnel first attempt before using restraints?

<p>Less restrictive measures, such as having someone sit with the client (B)</p> Signup and view all the answers

What is a protocol in the context of restraint use?

<p>A plan or set of steps to follow when implementing an intervention related to restraint use (D)</p> Signup and view all the answers

Study Notes

Safety Precautions

  • If the tip of a cane wears down, it should be replaced to prevent accidents.
  • When using public transportation, individuals should take precautions to avoid tripping or falling.

Bathroom Safety

  • Installing grab bars in the shower and near the toilet can improve safety.
  • Placing non-slip mats or decals in the shower can prevent slipping and falling.
  • A shower chair or bench should be placed in the tub or shower to prevent falls.

Lighting and Accidents

  • Using a flashlight or nightlight can prevent accidents when it's dark.
  • Avoiding loose soap bars in the shower can prevent slipping and falling.
  • Using a soap dispenser or soap on a rope is a recommended alternative to a loose soap bar.

Pet Safety

  • Ensuring pets cannot pose a risk of tripping is important for safety.

Nursing Home Reform Law

  • The Nursing Home Reform Law aims to prevent the misuse of physical restraints and psychoactive drugs.
  • Restraints may be imposed on a resident only in certain circumstances, such as to ensure the resident's safety.
  • A protocol is a standardized procedure for using restraints, and personnel must attempt nonphysical interventions before using restraints.

Wandering in Older Adults with Dementia

  • Identifying older adults with dementia who are at risk of wandering is crucial for prevention.
  • Designing special environments, such as those with circular paths and secure exits, can prevent wandering.
  • The Alzheimer's Association sponsors a program to facilitate the reporting and return of people with cognitive impairments who become lost.
  • Local police departments may provide a service for older adults with dementia who are at risk of wandering.
  • Daily documentation of what a person is wearing can help prevent wandering.

Technology and Safety

  • Fitting clients with dementia with a global positioning satellite (GPS) device can help track their location.
  • Using alert devices, such as those that sound an alarm when a person exits a room, can reduce the risk of wandering.

Restraint Use

  • Personnel must attempt nonphysical interventions before using restraints on a client attempting to remove an endotracheal tube.
  • Chemical restraints should be used cautiously in managing clients' behavior or freedom of movement.
  • A physician must evaluate the client within 1 hour after a restraint is initiated.
  • The nurse must document the client's condition and nursing care in the chart.

OBRA Legislation and TJC Standards

  • The intent of the OBRA legislation and the TJC standards is to promote liberty and safety for clients.
  • The OBRA legislation and the TJC standards aim to promote care that respects clients' autonomy and dignity.
  • Nurses must record detailed information about restrained clients' conditions and care.

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Safety Chp 19.docx

Description

Learn about practical tips to prevent falls and stay safe, including using assistive devices, modifying the home environment, and being cautious in various situations. This quiz provides valuable information for seniors and their caregivers to minimize the risk of falls and injuries.

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