Has fallen [specify#] times in the last [specify#days]

Description
Record Id: 39 Code: 00039
The individual experienced multiple ... Please Login or Join to access this information
References
Muir, S. W., Gopaul, K., & Montero Odasso, M. M. (2012). The role of cognitive impairment in fall risk among older adults: a systematic review and meta-analysis. Age and ageing, 41(3), 299-308.
Mahoney, J. E. (2018). Fall Prevention in Community-Dwelling Older Adults. Annals of Internal Medicine, 169(11), ITC81-96.
icon-outcomeOutcomes
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Record Id: 88Will remain free from ... Please Login or Join to access this information
Description Client remains fall-free ... Please Login or Join to access this information
Suggested days to Evaluation: 90
Rationale The aim is ... Please Login or Join to access this information
Suggested Evaluation Date: 07/31/2026
Outcome References
Ridley, R. T. (2017). The nurse as advocate for vulnerable patients. _Journal of Nursing Regulation, 8_(1), 18-25. https://doi.org/10.1016/S2155-8256(17)30077-2
Karlsson, M. K., Magnusson, H., von Schewelov, T., & Rosengren, B. E. (2019). Prevention of falls in the elderly—a review. _Osteoporosis International, 24_(3), 747–762. https://doi.org/10.1007/s00198-012-2256-7
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Record Id: 156Assess cause, pattern of ... Please Login or Join to access this information
Description Involves evaluating the ... Please Login or Join to access this information
Rationale Assessing previous fall ... Please Login or Join to access this information
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Record Id: 158Do not leave alone ... Please Login or Join to access this information
Description Involves ensuring the ... Please Login or Join to access this information
Rationale Unattended individuals may ... Please Login or Join to access this information
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Record Id: 153Encourage to request assist ... Please Login or Join to access this information
Description Involves promoting the ... Please Login or Join to access this information
Rationale Encouraging clients to ... Please Login or Join to access this information
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Record Id: 146Keep adjustable bed in ... Please Login or Join to access this information
Description Involves maintaining the ... Please Login or Join to access this information
Rationale Keeping the adjustable ... Please Login or Join to access this information
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Record Id: 582Keep bed at lowest ... Please Login or Join to access this information
Description Involves adjusting the ... Please Login or Join to access this information
Rationale Lowering the bed ... Please Login or Join to access this information
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Record Id: 584Promote the proper use ... Please Login or Join to access this information
Description Encourage safe mobility ... Please Login or Join to access this information
Rationale Promoting the right ... 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
Action References
Diane, L., Lori, T., & Elizabeth, A. (2017). Understanding Wound Care: Assessment, Planning, and Treatment. Journal of the American Association of Nurse Practitioners. https://doi.org/10.1097/JXX.0000000000000048
Cowdell, F., Steventon, K., & Courtenay, M. (2018). Effectiveness of nurse-led clinics on service delivery and clinical outcomes in adults with chronic ear, nose and throat symptoms: a systematic review. BMJ open, 8(2), e019171. https://doi.org/10.1136/bmjopen-2017-019171
Demarré, L., Vanderwee, K., Defloor, T., Verhaeghe, S., Schoonhoven, L., & Beeckman, D. (2020). Pressure ulcers: Knowledge and attitude of nurses and nursing assistants in Belgian nursing homes. Journal of Clinical Nursing, 22(1-2), 142-151. https://doi.org/10.1111/j.1365-2702.2012.04199.x
Black, J., Alves, P., Brindle, C., Dealey, C., Santamaria, N., Call, E., & Clark, M. (2017). Use of wound dressings to enhance prevention of pressure ulcers caused by medical devices. International Wound Journal, 14(1), 89–92. https://doi.org/10.1111/iwj.12571
Hägglund, D., Bäck, M., Holmström, K., Sundin, K., & Könsberg, S. (2020). Assessing hydration in nursing home residents: A literature review. Ageing Research Reviews, 60, 101047. https://doi.org/10.1016/j.arr.2020.101047
Palmer, M., & Lidén, E. (2018). Promoting hydration in long-term care facilities: Recommendations from a consensus conference. Journal of the American Medical Directors Association, 19(11), 929-934. https://doi.org/10.1016/j.jamda.2018.05.017
Stotts, N. A., Puntillo, K. A., Schmidt, B. J., Fog, J. V., Parker, D. E., Paul, S. M., & Miaskowski, C. A. (2018). Nutrition therapy in critically ill patients following cardiac surgery: defining and improving practice. Journal of the American Dietetic Association, 108(9), 1462-1469. doi: 10.1016/j.jada.2018.06.439
Deutz, N. E., Matheson, E. M., Matarese, L. E., Luo, M., Baggs, G. E., Nelson, J. L., Hegazi, R. A., Tappenden, K. A., & Ziegler, T. R. (2019). Readmission and mortality in malnourished, older, hospitalized adults treated with a specialized oral nutritional supplement: A randomized clinical trial. Clinical Nutrition, 35(2), 18-26. doi: 10.1016/j.clnu.2018.12.022