Falls PreventionSession 2

Self assessment quiz

Complete

Fall Event 2A

This is an example of a real fall event.

Please click on rectangle in the centre of the screen to view video

Fall Event 2B

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Discussion

• Recognition of Delirium symptoms

• Initial recognition of delirium diagnosis in

ED – is this possible and how ?

• Is there a place for bedrails?

• What SAC score would you give this fall?

Post Falls Management - Unwitnessed

Special consideration patients on anticoagulants

1. Do not move, Call for assistance - REASSURE2. Baseline vital signs, initial GCS3. Clean Wounds 4. Observe for change in behaviour5. Call Medical Officer for review and treatment6. Liaise for appropriate test and notify registrar/consultant7. Hourly Neurological observation for 4 hours and review continuing

for 24 hrs (important in older people) 8. Notify family9. IIMS report Document etc10. Reassess for Falls Risk and communicate to all staff

Fall Event 2C

Please click on rectangle in the centre of the screen to view video

Discussion

• Would a bed rail alarm have helped

manage this patient?

• Relatives responsibility in care patient

• How best to manage patients like this at

night?

Flowchart

Question 1What are essential post fall management principles that apply here?

a. Implement appropriate strategies to

address cognitive impairmentTrue False

b. Review medications if patient is taking

>4 of type and hydration levelTrue False

c. Allocate special nurse to provide

additional supervision of patientTrue False

d. Modify environmental factors if they

have contributed to fall incidentsTrue False

e. Organise for hip protectors and mobility

aids for walking or transfer if mobility

assessment indicates these aids are

needed

True False

Quiz Review

Question 2If a patient is identified as having a cognition problem what are some of the ways they can be managed?

a. Consider alarms (bed and chair)

b. Move them to a lo-lo bed.

c. Assess for delirium – use the CAM tool

d. Monitor and assess for any changes

e. Liaise with family or residential care about medications, mobilisation equipment, toileting requirements etc

f. All of the above

Answer: f

Quiz Review

Mobilisation Toileting Medication Cognition Ward Areas Restraint

Summary

• Recognition of Delirium symptoms

• Appropriate care for patients who are confused