Differences
In a 32 yo patient it results in burning, frequency and urgency in an older adult it results in acute confusion and behavioral changes.
What is UTI?
This adds 25 points to the Fall Score.
What is history of falling?
Severe risk for pressure ulcers.
What is Braden scale ≤ 9 points?
Done to prevent choking in the patient with dysphagia.
What is sitting upright and performing the chin tuck during swallowing?
Delirium.
What is a cognitive and/or behavioral change that is acute and reversible?
Vital signs: 40 - 90 BPM, BP 90/60 to 139/89 and CRT <4 are normals.
What are normal vital signs in patients greater than 75 yrs old?
Answer call bells promptly.
What is a valuable intervention for preventing falls?
Score this is a patient can not make even slight changes in their position.
What is a "1" for mobility?
Given to treat osteoporosis.
What are calcium and vitamin D?
Dementia.
What is a cognitive and/or behavioral change that is chronic and irreversible with an inability to learn new things?
Walk 20 to 30 minutes 3 times a week.
What is a reasonable exercise plan for an older adult with no musculoskeletal issues?
Floppy, soft soled slippers.
What should be replaced with firm, hard soled, nonskid slippers for a patient at risk for falls?
A score less than 12.
What is "high risk" for pressure ulcer development?
The patient that gives away their belongings could be planning something.
What is suicide?
The measure of cognition.
What is person, place, time and situation?
Speak in a lower, deeper voice.
What is communicating with an adult with presbycusis?
Using furniture to navigate effects the fall risk in this way.
What is adds 30 points to the overall score?
Chairfast.
When a patient cannot bear their own weight and/or must be assisted into or out of the chair or wheel chair?
The patient has a high risk for constipation.
What are:
An appropriate intervention to add to the plan of care for the resident with wandering behavior.
What is apply a bracelet that will alarm near the exits?
Keep area clear of clutter, provide additional lighting, announce when entering and exiting.
What are interventions for the patient with presbyopia?
Score of >45.
What is considered high risk for falls per the Morton scale?
A patient with a PEG tube would score a 3.
What is adequate nutrition?
A listing of reasons for polypharmacy.
What are:
1. use of mail order sources
2. being prescribed to by several health care providers
3. many drugs being prescribed under different names
4. availability of OTC medications
Once it is suspected, you must notify the authorities.
What is physical, sexual, verbal, psychological, or financial abuse?