Frequent falls due to impaired balance and unsteady gait.

Description
Record Id: 212 Code: 00212
Impaired balance and an ... Please Login or Join to access this information
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
icon-outcomeOutcomes
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Record Id: 241High risk client will ... Please Login or Join to access this information
Description Identification and injury ... Please Login or Join to access this information
Suggested days to Evaluation: 30
Rationale Identifying high-risk clients ... Please Login or Join to access this information
Suggested Evaluation Date: 06/10/2026
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
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Record Id: 1595If 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
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Record Id: 1596Discuss 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
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Record Id: 1597Utilize 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
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Record Id: 1719If 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
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Record Id: 1720Assess 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
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Record Id: 1718Assess 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
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Record Id: 1721Be 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
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Record Id: 136Physical 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
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Record Id: 2169Use 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
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Record Id: 2005Ensure 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
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Record Id: 2170Provide 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
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Record Id: 2172Apply 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
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