Client experiences impaired balance and coordination due to Wallenberg syndrome.
|
Confined to a chair with safety belt or positioning pillow that prevents rising related to [specify]
|
Frequent falls due to impaired balance and unsteady gait.
|
Has fallen [specify#] times in the last [specify#days]
|
High risk for falls related to [specify]
|
Multiple falls over last [specify].
|
Potential for complications related to dx of Huntington’s disease, including cognitive impairment, communication impairment, mood/behavior problems, nutritional/swallowing problems, deterioration in ADL function, and risk for falls/injuries.
|
Potential for falls due to side effects of medication [specify]
|
Potential for pain, complications related to dx of Angina Pectoris
|
Requires [#] siderails when in bed related to [specify]
|