This practice can be accomplished by teaching this strategy through a video, pamphlet or face-to-face learning session.  The level of assistance will require help from a health care professional in order to effectively complete this strategy. The physical/environmental accommodations will involve eliminating distractions to that patient will be able to concentrate, such as turning TV off and limiting visitors. The environment should be clean, such as free of smoke and etc.

2. Instruct patient to cough and deep breathe deeply at least once every 8 hours. (Eliopoulos, (2014).

This practice can be accomplished by teaching this strategy through a video, pamphlet or face-to-face learning session. The level of assistance will require help from a health care professional in order to effectively complete this strategy. The accommodations will cause for limited distractions in order to execute the strategy and will require the patient to sit upright.

3. Schedule rest periods between activities (Eliopoulos, (2014).

This practice can be accomplished by providing face-to-face teaching to the patient. The level of assistance will be minimal, but occasional reminding may be beneficial in case the patient forgets. The accommodations will consist of not scheduling activities so close together in order to allow rest periods. Also, it will call for having more chairs or etc around to allow the patient to sit during times of rest.

This practice will require face-to-face teaching, brochures, and exercise classes. The level of assistance will be continuous. The accommodations will require exercise geared toward their age group and exercise that allow frequent rest periods. “Exercise programs show promise among effect fall prevention strategies”( Yeşilyaprak et al, 2016).

3.Cigarette Smoke Avoidance (Eliopoulos, (2014).

This practice will require face-to-face teaching and brochures. The level of assistance will require major family support. Individuals will need to attend smoking cessation programs, acupuncture.

This practice will require face-to-face teaching and brochures. The level of assistance will vary upon each individual illness.” The highest level need for assistance with bladder management varied greatly by the patient’s impairment”(Fisher, n.d, pg.18) Accommodations will consist of providing frequent bathroom breaks

2. Ensure the bathroom is easily accessible; provide bedside commode or bedpan if needed (Eliopoulos, (2014).
This practice will require teaching on how to use the bedside commode and bedpan. Assistance will be needed at all times for this strategy. Also, environment will be needed to accommodate incontinence, such as protection for mattress and furniture, provide good ventilation, use room deodorizer, keep bathroom well lighted.

3. Review dietary pattern with patient and educate as needed regarding the inclusion of high-fiber foods in diet; monitor dietary intake (Eliopoulos, (2014).

This practice will require face-to-face teaching, and brochures. “ Increased fiber intake should be gradual to prevent discomfort and bloating and should be accompanied by and increase in fluid intake to prevent dehydration” (Pellet, 2007).The level of assistance will require a dietitian and family support. Accommodations will require meals with more fiber and high in calories

1. Instruct patient to perform kegel exercises daily (Eliopoulos, (2014).

This practice will require face-to-face teaching and brochures. Assistance will be minimal. Accommodations will consist of privacy

2. Support verbalization of positive or negative feelings about the actual or perceived loss (Eliopoulos, (2014).

This practice will require an open dialogue between patient and healthcare professional. Accommodations will require a quiet and nonjudgmental environment that will foster dialogue.

                                           
3. Listen to patients concerns and provide support (Eliopoulos, (2014).

This practice will require an open dialogue between patient and healthcare professional. Accommodations will require a quiet and nonjudgmental environment that will allow healthcare professional to listen

 This practice can be accomplished by teaching this strategy through a video, pamphlet or face-to-face learning session.  The level of assistance will require help from a health care professional in order to effectively complete this strategy. The physical/environmental accommodations will involve eliminating distractions to that patient will be able to concentrate, such as turning TV off and limiting visitors. The environment should be clean, such as free of smoke and etc

2. Maintain proper body alignment at all times to avoid contractures and maintain optimal musculoskeletal balance and physiologic function

This practice can be accomplished by teaching this strategy through a video, pamphlet or face-to-face learning session.  The level of assistance will require help from a health care professional in order to effectively complete this strategy. The physical/environmental accommodations will involve eliminating distractions to that patient will be able to concentrate, such as turning TV off and limiting visitors. The environment should be able to promote healthy living

3.Encourage active exercise. Provide trapeze or other assistive device whenever possible. 

This practice will require face-to-face teaching, brochures, and exercise classes. The level of assistance will be continuous. The accommodations will require exercise geared toward their age group and exercise that allow frequent rest periods. “Exercise programs show promise among effect fall prevention strategies”( Yeşilyaprak et al, 2016).

This practice will require face-to-face teaching, brochures, and cooking classes. The level of assistance will be continuous to ensure the patient sticks to his/her diet. The accommodations will be learning to shop at stores that provide nutritious foods, and also funds to purchase the food. Also, the older adult will need to be informed of social events in the community that will provide others to accompany them during meal times.” Older people need a better quality diet, with a greater density of nutrients than other people” (Coutts, 2001,pg. 605).

2.Adequate Exercise (Eliopoulos, (2014).

This practice will require face-to-face teaching, brochures, and exercise classes. The level of assistance will be continuous. The accommodations will require exercise geared toward their age group and exercise that allow frequent rest periods. “Exercise programs show promise among effect fall prevention strategies”( Yeşilyaprak et al, 2016).

3. Cigarette Smoke Avoidance (Eliopoulos, (2014).

This practice will require face-to-face teaching and brochures. The level of assistance will require major family support. Individuals will need to attend smoking cessation programs, acupuncture 

This practice will require face-to-face teaching, and brochures. The level of assistance will require family support to make changes in the home. Accommodations will require night lights to be placed in dark areas and for furniture to be repositioned

2. Instruct the patient to avoid situations that could damage vision by increasing intraocular pressure, such as aggressive coughing, sneezing, straining to have a bowel movement, strenuous exercise, and emotional stress
This practice can be accomplished by teaching this strategy through a video, pamphlet or face-to-face learning session.  The level of assistance will require help from a health care professional in order to effectively complete this strategy. The physical/environmental accommodations will involve eliminating distractions to that patient will be able to concentrate, such as turning TV off and limiting visitors. 

3.Advise the patient to avoid activities for several hours following administration of eye drops to accommodate blurred vision that could occur during this time

This practice can be accomplished by teaching this strategy through a video, pamphlet or face-to-face learning session.  The level of assistance will require help from a health care professional in order to effectively complete this strategy. The physical/environmental accommodations will involve eliminating distractions to that patient will be able to concentrate, such as turning TV off and limiting visitors. The environment should be clean, such as free of smoke 

This practice can be accomplished by teaching this strategy through a video, pamphlet or face-to-face learning session.  The level of assistance will require help from a health care professional in order to effectively complete this strategy. The physical/environmental accommodations will involve eliminating distractions to that patient will be able to concentrate, such as turning TV off and limiting visitors. The environment should be clean, such as free of smoke 

2. Instruct patient to avoid heating pads and always to wear shoes when walking

This practice can be accomplished by teaching this strategy through a video, pamphlet or face-to-face learning session.  The level of assistance will require help from a health care professional in order to effectively complete this strategy. The physical/environmental accommodations will involve eliminating distractions to that patient will be able to concentrate, such as turning TV off and limiting visitors. The environment should be clean, such as free of smoke 

3. Teach patient to treat hypoglycemia with crackers, a snack or glucagon injection

This practice can be accomplished by teaching this strategy through a video, pamphlet or face-to-face learning session.  The level of assistance will require help from a health care professional in order to effectively complete this strategy. The physical/environmental accommodations will involve eliminating distractions to that patient will be able to concentrate, such as turning TV off and limiting visitors. The environment should be clean, such as free of smoke 

This practice can be accomplished by teaching this strategy through a video, pamphlet or face-to-face learning session.  The level of assistance will require help from a health care professional in order to effectively complete this strategy. The physical/environmental accommodations will involve eliminating distractions to that patient will be able to concentrate, such as turning TV off and limiting visitors. The environment should be clean, such as free of smoke and etc

2. Maintain a high protein, high calorie diet

This practice will require face-to-face teaching, brochures, and cooking classes. The level of assistance will be continuous to ensure the patient sticks to his/her diet. The accommodations will be learning to shop at stores that provide nutritious foods, and also funds to purchase the food. Also, the older adult will need to be informed of social events in the community that will provide others to accompany them during meal times.” Older people need a better quality diet, with a greater density of nutrients than other people” (Coutts, 2001,pg. 605).

3.. Ensure patient consumes at least 1,300 ml of fluids daily (unless contraindicated) (Eliopoulos, (2014).
This practice will require face-to-face teaching and brochures. The level of assistance will require major family support. Accommodations will consist of giving water continuously during the day

 This practice can be accomplished by providing face-to-face teaching to the patient. The level of assistance will be minimal, but occasional reminding may be beneficial in case the patient forgets. The accommodations will consist of allowing times between events to wash hands

2. Encourage patient to increase fluid intake if not contraindicated

 This practice will require face-to-face teaching, brochures, and cooking classes. The level of assistance will be continuous to ensure the patient sticks to his/her diet. The accommodations will be learning to shop at stores that provide nutritious foods, and also funds to purchase the food. Also, the older adult will need to be informed of social events in the community that will provide others to accompany them during meal times.” Older people need a better quality diet, with a greater density of nutrients than other people” (Coutts, 2001,pg. 605).

3. Encourage adequate rest

 This practice can be accomplished by providing face-to-face teaching to the patient. The level of assistance will be minimal, but occasional reminding may be beneficial in case the patient forgets. The accommodations will consist of not scheduling activities so close together in order to allow rest periods. Also, it will call for having more chairs or etc around to allow the patient to sit during times of rest.