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Which patient requires immediate fall precautions?
Asked on Jan 02, 2026
Answer
In nursing practice, identifying patients at high risk for falls is crucial to ensure patient safety. Immediate fall precautions should be implemented for patients with a history of falls, impaired mobility, cognitive impairment, or those on medications affecting balance or consciousness.
Example Concept: Patients at high risk for falls often include those with a history of recent falls, gait instability, use of assistive devices, or cognitive impairments such as confusion or dementia. Medications like sedatives or antihypertensives may also increase fall risk. Implementing fall precautions involves assessing the environment for hazards, ensuring the call bell is within reach, and using non-slip footwear.
Additional Comment:
- Use the ABCs (Airway, Breathing, Circulation) to prioritize immediate safety needs, but fall risk is a key safety concern.
- Consider both intrinsic factors (e.g., age, medical conditions) and extrinsic factors (e.g., environment) when assessing fall risk.
- Document any interventions and patient education regarding fall prevention measures.
- Communicate with the healthcare team about the patient's fall risk and implemented precautions.
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