Improvement in Transferring and Fall Prevention Plan of Care
The improvement in Transferring and Fall Prevention Plan of Care is initiated and incorporated into the patient's plan of care when the patient is >= 75 years old, recently discharged from the hospital with a medical condition, on anti-hypertensive medication, Falls RIsk >= 3, and/or patient has been on service >= 120 days. Educational materials are left in the patient's home.
Safety:
- Teach ADL safety in the home with emphasis on safety in the bedrooms and bathrooms.
- Teach DME safety guidelines as per teaching tool provided with any DME in the home.
- Teach transferring techniques:
- Bed to Chair
- Bed to Cane
- Bed to Walker
- Walker to Toilet
- Toilet to Walker
- Refer to PT for instruction in safety with ADLs and OT for instruction in energy conservation and job simplification when client risk for falls is >= 3 and/or patient has been on service >= 120 days.
- Teach home hazard prevention:
- Appropriate Footwear
- Hazard Free Floors
- Uncluttered Kitchens
- Safe Entrances and Yards
- Safe Stairs
- Properly Equipped Bedrooms and Living Rooms
- Proper Lighting
- Adapted Bathrooms
- Teach good nutrition with restricted alcohol.
- Refer to optometrist/opthamologist for regular eye exam.
- Teach proper shoes and regular foot care.
- Recommend emergency call system is patient is alone.
Muscle Strengthening and Balance Training:
- Reinforce the muscle strengthening and balance training plan developed by PT as attached and as shown in the plan in home packet.
Energy Conservation and Job Simplification:
- Reinforce the energy conservation and job simplification plan developed by OT as attached and as shown in the plan in the home packet.
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