Details

Care Plan Detail

Frequent falls due to impaired balance and unsteady gait.

Description
Impaired balance and an ... Please Login or Join to access this information
Record Id
212
Code
00212
Downloads
139
References
Chen, T. Y., Peronto, C. L., & Edwards, J. D. (2020). Rehabilitation strategies for optimization of functional mobility in older adults. Physical Therapy, 100(11), 2004–2014. https://doi.org/10.1093/ptj/pzaa103
Ambrose, A. F., Cruz, L., & Paul, G. (2017). Falls and fractures: A systematic approach to screening and prevention. Maturitas, 94, 47-52. https://doi.org/10.1016/j.maturitas.2016.09.012

Outcomes

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High risk client will ... Please Login or Join to access this information
Description: Identification and injury ... Please Login or Join to access this information
Rationale: Identifying high-risk clients ... Please Login or Join to access this information
Record Id
241
Downloads
9,898
Evaluate in days
30
Evaluation Date
12/06/2025
Outcome References
Lake, E. T., Smith, J. G., Staiger, D., & Hatfield, L. A. (2018). Assessing and reducing risk of patient injury. Journal of Nursing Regulation, 9(2), 18-25. doi:10.1016/S2155-8256(18)30108-8
García-Calderón, D., López-Villegas, A., Lavín-Alconero, L., Echeazarra-López, I., & Vicente-Villardón, J. L. (2017). Nurses'' clinical judgment development: A qualitative study in a hospital setting. Journal of Clinical Nursing, 26(13-14), 2029-2036. doi:10.1111/jocn.13505

Actions

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If restrained, check every ... Please Login or Join to access this information
Description: Involves regularly monitoring ... Please Login or Join to access this information
Rationale: Frequent checks ensure ... Please Login or Join to access this information
Record Id
1595
Downloads
12,894
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Discuss physician order for ... Please Login or Join to access this information
Description: Involves communicating with ... Please Login or Join to access this information
Rationale: To ensure the ... Please Login or Join to access this information
Record Id
1596
Downloads
12,894
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Utilize therapeutic communication and ... Please Login or Join to access this information
Description: Involves using physical ... Please Login or Join to access this information
Rationale: Physical restraint can ... Please Login or Join to access this information
Record Id
1597
Downloads
12,894
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If receiving diuretics, schedule ... Please Login or Join to access this information
Description: Involves timing the ... Please Login or Join to access this information
Rationale: Administering diuretics earlier ... Please Login or Join to access this information
Record Id
1719
Downloads
12,894
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Assess mental status as ... Please Login or Join to access this information
Description: Involves regular assessment ... Please Login or Join to access this information
Rationale: Monitoring mental status ... Please Login or Join to access this information
Record Id
1720
Downloads
12,894
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Assess for prior history ... Please Login or Join to access this information
Description: Involves evaluating a ... Please Login or Join to access this information
Rationale: Assessing prior history ... Please Login or Join to access this information
Record Id
1718
Downloads
12,894
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Be sure that glasses ... Please Login or Join to access this information
Description: Involves ensuring the ... Please Login or Join to access this information
Rationale: Ensuring glasses are ... Please Login or Join to access this information
Record Id
1721
Downloads
12,894
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Physical therapy evaluation & ... Please Login or Join to access this information
Description: Involves assessing the ... Please Login or Join to access this information
Rationale: Physical therapy evaluation ... Please Login or Join to access this information
Record Id
136
Downloads
12,894
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Use mobility monitor, pressure ... Please Login or Join to access this information
Description: Utilizes devices such ... Please Login or Join to access this information
Rationale: Using mobility monitors ... Please Login or Join to access this information
Record Id
2169
Downloads
12,894
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Ensure that client is ... Please Login or Join to access this information
Description: Involves confirming that ... Please Login or Join to access this information
Rationale: Appropriate footwear minimizes ... Please Login or Join to access this information
Record Id
2005
Downloads
12,894
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Provide a safe environment ... Please Login or Join to access this information
Description: This nursing care ... Please Login or Join to access this information
Rationale: This ensures client ... Please Login or Join to access this information
Record Id
2170
Downloads
12,894
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Apply hip protectors as ... Please Login or Join to access this information
Description: Hip protectors are ... Please Login or Join to access this information
Rationale: Hip protectors, as ... Please Login or Join to access this information
Record Id
2172
Downloads
12,894
Action References
Infusion Nurses Society. (2019). Infusion therapy standards of practice. Journal of Infusion Nursing, 42(1S), S1-S224. https://doi.org/10.1097/NAN.0000000000000308
Guo, Y., Tian, Y., Wang, X., Xiao, Z., Lin, M., Long, M., & Li, Y. (2017). Implementation of a Clinical Care Pathway Decreases the Incidence of Venous Thromboembolism-Related Complications in Patients With Hip Fracture. Geriatric Orthopaedic Surgery & Rehabilitation, 8(4), 215–220. https://doi.org/10.1177/2151458517732475
Rickard, C. M., Webster, J., Wallis, M. C., Marsh, N., McGrail, M. R., French, V.,... & McClymont, A. (2012). Routine versus clinically indicated replacement of peripheral intravenous catheters: a randomised controlled equivalence trial. The Lancet, 380(9847), 1066-1074.
Alexandrou, E., Ray-Barruel, G., Carr, P.J., Frost, S., Inwood, G., Higgins, N., Lin, F., Alberto, L., Mermel, L., Rickard, C.M. (2020). Use of Short Peripheral Intravenous Catheters: Characteristics, Management, and Outcomes Worldwide. Journal of Hospital Medicine, 13, E1-E7.
Infusion Nurses Society. (2020). Infusion Therapy Standards of Practice. Journal of Infusion Nursing, 43(1). https://doi.org/10.1097/NAN.0000000000000363
Cicolini, G., Simonetti, V., & Comparcini, D. et al., (2019). Nurses'' knowledge of evidence-based guidelines on the prevention of peripheral venous catheter-related infections: a multicentre survey. Journal of Clinical Nursing, 28(5-6), 800-808. https://doi.org/10.1111/jocn.14709
Luanaigh, C. Ó., Lawlor, B.A. (2018). Loneliness and the health of older people. International Journal of Geriatric Psychiatry, 23(12), 1213-1221. https://doi.org/10.1002/gps.2054
Naylor, M. D., Hirschman, K. B., Hanlon, A. L., Bowles, K. H., Bradway, C., McCauley, K. M., & Pauly, M. V. (2020). Comparison of evidence-based interventions on outcomes of hospitalized, cognitively impaired older adults. Journal of Comparative Effectiveness Research, 9(6), 415-427. https://doi.org/10.2217/cer-2019-0156