Nursing actions
How often should Post-Fall Assessments be performed according to the Vancouver Coastal policy?
Every 4 hours
What does SPLATT stand for?
S- Symptoms at time of fall. To determine abnormalities and possible cause
P - Previous falls
L - Location of fall
A - Activities they were doing before the fall
T - Time of fall
T - Trauma, any injuries that occured due to the fall
Based on Betty Anne's case, what are some of the risk factors that contributed to her fall?
Age
Medical history (prehypertension, constipation, atrial fibrillation)
Cognitive function (mild dementia)
Cluttered environment (tripping over toys)
Potential medication effects (hypotension from metoprolol and Opioid risk for drowsiness)
What does PQRSTUV stand for?
Provoking
quality
region
severity
time
understanding
values
Why is assessing neurovascular status important for patients with a right hip fracture?
Assessing neurovascular status is crucial to monitor circulation, sensation, and movement in the affected limb(s) to detect any signs of complications such as decreased circulation and nerve damage.
What does SAFE stand for in the context of Universal Fall Precautions (SAFE) interventions for Home and Community?
Safe environment
Assist with mobility
Fall risk reduction
Engage patient and family
Give some key teaching points regarding falls prevention that should be included in patient education for Betty Anne?
- Risk factors for falls
- Use of assistive devices
- Importance of exercise and physiotherapy
- Medication review for fall risks
- Environmental modifications (such as clutter clearance, adequate lighting, and non-slip footwear.
_____ is essential to the prevention of future falls and implementation of risk reduction programs, particularly in health care settings.
Post-Fall Assessment (PFA)
A patient has asked a nurse to assist him to ambulate to the bathroom. The nurse is aware that the patient is currently taking an anti-hypertensive medication. What action should the nurse implement?
Ask the patient to sit on the side of the bed for a minute or two before standing and then stand slowly.