5. Instruct the patient’s family members to keep all pathways in the patient’s home free from any cluster. 6. Intruct the patient’s family members to place a non-skid mat inside the patient’s shower room. 7. Encourage the patient to participate in gait training exercise programme once she has been discharge from the hospital. 1. Environmental factors such as dim light or poor lighting, unsafe stairways, irregular floor surface, and the presence of hazardous things like loose rugs, slippery or wet floors and telephone wires that scattered around the house will increase the patient’s risk of accidental falls (Timby, 2009, p. 424). 2. The installation of handrails or grab bars inside the shower room, around the bedroom, stairs, and bathroom will help reduce the patient’s risk of accidental falls (Timby, 2009, p. 424). 3. Placing a strip of light-colored adhesive tape on the edge of each stair will help increase the patient’s visibility of the stairs (Timby, 2009, p. 424). 4. Wearing non-skid soles will help reduce the risk of accidental falls (Timby, 2009, p. 424). 5. Freeing the pathways from clusters will reduce the risk wherein the patient’s Zimmer frame might accidentally touch other things causing her to loose her balance (Timby, 2009, p. 424). 6. The use of non-skid mat inside the patient’s shower room will help prevent the patient from falling (Gulanick and Myers, 2011, p. 63. Timby, 2009, p. 424). 7. Studies show that patients who are active in exercise can strengthen their muscles, improve their ability to balance and coordinate their body movements, increase their bone density which are all necessary in terms of reducing the patient’s risk for falls (Gulanick and Myers, 2011, p. 63). Problem Goal Intervention Rationale The patient… Discharge care plan is pertaining to the process of developing a plan for the transfer of patient from the hospital to his designated place to stay.It is equally important to know that the patient is no longer in pain at the time the patient is about to leave the hospital. It is equally important to know that the patient is no longer in pain at the time the patient is about to leave the hospital. To ensure that the patient is properly being taken cared of after being discharged from the hospital, the student nurse should focus on identifying continuing care that the patient will be needing to improve her overall well-being. After analyzing the case of Mrs. Jones, the following discharge care plan was created: Problem Goal Intervention Rationale Other than the history of falls, the patient is suffering from postural hopotension due to the intake of bendroflumethiazide. Postural hypotension increases the patient’s risk of accidental fall due to dizziness and inability to balance and coordinate her body movements. Other risk factors of accidental falls include: poor eye sight or impaired vision, neurological disorder, decreased lower muscle strength, brittle bones due to osteoporosis and ageing (Timby, 2009, p. 423). To reduce all factors that can increase the patient’s risks of falls. 1. Assess and teach the patient’s family members to modify the home environment of the patient by removing all things that can increase the patient’s risk of falling (Gulanick and Myers, 2011, p. 63). 2. The patient prefers to microwave and eat frozen meals for lunch. To ensure that the patient is receiving proper nutrition.
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