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Erica wants B plus

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Fall assessment

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Stop posting!

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Morse fall scare
Adv/ give a clear guildeline on how to assess the degree of risk of fall so that nurse can take precation

Disadv some nurse is just task orientated

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I am li yeung

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Toilet handrails

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Wear non-slippery shoe

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1. Lower bed
2. Fall risk assessment
3. Call bell beside pt
4. Bed sign
5. Put up side rail
6. Ask the PT and tell the family not to go to toilet alone
7. Ask for assistance when transferring a PT to make sure they have enough strength
8. Set up handrails
9. Keep the floor dry

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restraint restraint and restraint

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Transfer skill

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no plastic on the floor

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Use seat belt when patient sit on the wheel chair

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restrain may cause dignity problem to the elderly

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Use of walking
Sit beorw
Bed bath/ bed.

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Morse fall scale

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Adequate lighting

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Fit sized pyjamas

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adequate lighting

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Raise bedside rail

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Bed side rail
Tut 005 14080353d

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Restrainer
Bed side rails
Fall alarm

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Seat belt

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Lower the bed level

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Side rail
Safety vest
Strengten muscle by physiotherapy
Lower bed level
Fall prevention signage
Keep the floor dry
Bedside Passive motion exercise
Assess for muscle  strength and joint movement

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1. Restraint --> can restraint patient on the bed
2. Side rail --> prevent patient from falling down the bed
3. 扶手on the corridor --> prevent fall and don't need to restraint patient on bed
4.

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S

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Fall bell? Ring when patient leave the bell

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(Assessment) morse fall scale
Bedside rail
Walking aids
Signs to alert healthcare providers
Handrail
Modify environment-maintain tidiness

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1. Fall risk assessment to identify whether pt is high risk in fall or not
2. Provide walking aids for pt
3. Fall sign on bedside of pt
4. Assess muscle strength of pt

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Risk for fall signage
Restranit when sit out

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sit for a while before walking

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Lower bed
Fall assessment
Restraint use
Usually Bed rail up
Restrict leaving the bed unless authorised
Provide seat belt

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Side rails

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Bedside rail
Walking aids

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Raise up bed rails

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1. Raise bed side-rail
2. Put on restraints when necessary
3. Good posture and body supportduring transfer (bed to chair, bed to bed etc.)
4. Adjust bed to lowest level
5. Handrail provided for support during gait

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Raise the bedside rail

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Raise the side rails, restraint, remove obstacles in corridor

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Rise the bedside rail

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Lighting
Floor

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alarm pad

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-Lower bed level
-Give bedpan to patients that have high risk of fall
-Fall risk assessment and put fall prevention sign

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Physiotherapy

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Walking aids

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Walking aids,
Restrain,

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Fall prevention strategies :
1. Bedside rail is raised
2. Restraints
3. Lost bed level

Effectiveness of the strategies :
Older people tend to lose their independence with the measures

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Restrain
Fall assessment
Lower bed
PT

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Alert sign
Side rail

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1.  Morse Fall Scale
To assess the risk of fall of the clients. It’s effective in planning the related interventions in preventing falls with this scoring system.

2. Restrains
Able to prevent fall in those clients who are not cooperative. Yet, it might be overused in Hong Kong’s hospital due to the insuffient manpower.