Which of the following assessments should be included in a post fall prevention assessment of an older adult? (Select all that apply.)
Functional status
Medical history
Financial status
Occupational history
Physical status
Environment
Correct Answer : A,B,E,F
A. Functional status
Explanation: Assessing the functional status helps determine the individual's ability to perform daily activities independently. Identifying any decline in function can guide interventions to prevent future falls.
B. Medical history
Explanation: A comprehensive medical history review can reveal any pre-existing conditions, medications, or health issues that may contribute to falls. Understanding the individual's medical background is crucial for effective fall prevention strategies.
C. Financial status
Explanation: Financial status is generally not directly relevant to post-fall prevention assessments. While financial difficulties may have an impact on an individual's ability to access certain resources, it is not a primary consideration in fall prevention assessments.
D. Occupational history
Explanation: Occupational history is not a standard component of a post-fall prevention assessment. The focus should be on functional status and physical abilities rather than specific details of the individual's occupational history.
E. Physical status
Explanation: Evaluating the physical status includes assessing balance, strength, gait, and mobility. Identifying physical impairments can guide targeted interventions to address specific risk factors for falls.
F. Environment
Explanation: Assessing the environment involves identifying potential hazards in the home or care setting that could contribute to falls. Modifying the environment to enhance safety is an important aspect of fall prevention.
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Related Questions
Correct Answer is C
Explanation
A. Provide a urinal and drinking water.
Explanation: While providing a urinal and drinking water is important for the client's comfort and hydration, it may not directly address the risk of falls in this situation.
B. Call for someone to bring the sign.
Explanation: Bringing a fall risk sign is a secondary measure and not as immediate as instructing the client to use the call bell. The priority is to ensure the client's safety by addressing the need for assistance promptly.
C. Instruct the client to use the call bell for help.
Explanation: Instructing the client to use the call bell for help is a crucial intervention to ensure that the client can request assistance when needed. Promptly responding to the call bell allows healthcare providers to assist the client with activities such as getting out of bed, using the bathroom, or reaching personal items without the risk of falls. Educating and encouraging clients to use the call bell empowers them to seek assistance and promotes their safety.
D. Ensure he can reach his personal items.
Explanation: Ensuring the client can reach personal items is part of providing a comfortable environment but may not prevent falls. The critical factor in fall prevention is promoting communication and the ability to request assistance in a timely manner.
Correct Answer is ["B","C","D","E"]
Explanation
A. Hearing.
While hearing impairment can affect overall awareness, it is not as directly linked to the risk of falls as vision, cognitive disorders, and blood pressure-related issues.
B. Vision.
Correct. Visual impairment can contribute to an increased risk of falls.
C. Cognitive disorders.
Correct. Cognitive impairment or disorders can impact a person's awareness and ability to navigate their environment safely.
D. Preprandial hypotension.
Correct. Low blood pressure before meals (preprandial hypotension) can contribute to dizziness and falls, especially in older adults.
E. Orthostatic hypotension.
Correct. Orthostatic hypotension, a drop in blood pressure upon standing, is a risk factor for falls.
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