No one wants your family member to fall.
Having said that, unfortunately, people do fall. What can be done? Interventions (ways to prevent a fall) are as varied as the members of the IDT (interdisciplinary team). Confusion is a big cause. A simple, treatable UTI (urinary tract infection) can dramatically increase confusion in the elderly.
A mat on the floor can prevent injury when someone rolls out of bed. But, the benefit must outweigh the risk if your family member might trip on it when walking.
Siderails can actually cause more injury, so they are not used as often as they once were. They do not keep someone safely in bed.
Alarms are sometimes used to alert staff when a resident is forgetful about requesting assistance and is at risk for falling. They are disturbing to some people, and may not always be appropriate.
Sometimes body pillows or bolsters help a resident understand the boundaries of the bed.
Dycem (a slip resistant material) can help someone not slip off their pressure redistribution cushion ( also called a gel cushion, foam cushion, etc. depending on the type).
Toileting schedules help not only continence (staying clean and dry) but, can help a resident not feel as anxious about getting to the bathroom in time (which is sometimes the reason individuals give when asked why they tried to go into the bathroom without asking for, or waiting for help). Identifying a person's pattern for toileting needs is a big part of the process. You can help with the process if you know that your parent (or other loved one) always goes in the bathroom right after meals, during the night, etc.
Is there a time of day that your loved one is more likely to be restless, or has fallen in the past?
A team approach (and you are a part of that team), a knowledge of a resident's habits, meeting basic needs are all a part of.
A pharmacist reviews your family member's medications, to watch for possible drug interactions.
These are only a few of the many interventions that may be used.
Thursday, August 13, 2009
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