patient care
what to check/ document when a fall occurs ?
history
- current issues and pmh
- possible causes (dementia, delerum, postural drop, parkinsons, seizure, visual impairment
-prev falls?
pre fall
-what were they doinh? sob, cp, dizziness
fall
- describe what happend (collapse, weak legs, dizziness)
-what part of body took the impact? head?
- anything to suggest seizire( tongue biting, jerking, incontinence)
post fall
-able to get themselves up
- confusuon? headache? vomiting?
- pain ? obvious injuries?
management
- condider neuro obs, holding anticoag
discharge
-ensure documented by dr
-TTO
-DC letter x2
-removal of cannula
-nok informed
-care restarted
-mobilty aid?
-RESPECT form
-transport
admission
-mrsa swab
-ecg
-obs
-frailty bloods?
-skin bestshot
-l+S bp
common causes of sudden confusion (delerium)
-an infection – urinary tract infections (UTIs) are a common cause in older people or people with dementia
-a stroke or TIA ("mini-stroke")
-a low blood sugar level in people with diabetes
-a head injury
-some types of prescription
-a severe asthma attack
-certain types of seizures caused by epilepsy
what is delerium
someone’s mental function has a sudden change. It comes on quickly, often over hours or days.
As well as showing confusion, people with delirium can be sleepy, agitated, have altered beliefs or see hallucinations.
what is parkinsons
Parkinson's disease is caused by a loss of nerve cells in part of the brain
This leads to a reduction in a chemical called dopamine in the brain.
Dopamine plays a vital role in regulating the movement of the body. A reduction in dopamine is responsible for many of the symptoms of Parkinson's disease.
what is MND
Motor neurone disease (MND) is an uncommon condition that affects the brain and nerves. It causes weakness that gets worse over time.
what is diabetes t1
a condition where your body cannot make a hormone called insulin. Insulin helps your body use glucose (sugar) for energy. Without insulin the level of glucose in your blood becomes too high.
what is t2dm
Type 2 diabetes is a common condition that causes the level of sugar (glucose) in the blood to become too high.