Have you considered her mental status? It appears she is unable to remember to ask for assist. Would she perhaps be more appropriate in a walker that she cannot open & walk out of? Also, WHY is she getting out of the walker? Does she need to be toileted, and maybe is not asking staff? Does she need a toileting program? Is she getting out to sit in a more comfortable chair? Etc., etc., Corey ----- Original Message ----- From: "Jennifer" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Wednesday, December 03, 2003 2:52 PM Subject: Re: Care plan issue - Falls
> In our facility, when the resident continues to fall, > we have them evaluated by therapy to determine if > they're still appropriate for their device > (restraint..)It appears she is no longer safe since > she can open the merri-walker. We would probably put > her in a w/c with a lap tray/lap buddy (with recomm. > from therapy) and have her walked with restorative. > There is also a chair alarm that you may want to > consider but many residents know how to shut the > alarm. > > > --- Michelle Witges <[EMAIL PROTECTED]> > wrote: > > This is not MDS related but I need some idea's for a > > patient who continues to fall. I have a lady who > > has had a CVA with paralysis on right side. She is > > in a Merry Walker as she is very unsteady on her > > feet. She also has a personal alarm on. She is > > able to get around safely in the Merry Walker and > > the personal alarm is to notify if she tries to get > > up without assist. Now comes my problem, she is > > able to open the Merry Walker and take off her > > personal alarm there by up without staff assist. > > She has fallen numerous times doing this. Luckily > > she has not hurt herself seriously. She has fallen > > again today and has a lovely shiner and goose egg > > below her left eye. Is there anything else that we > > can do to keep her safe. I am out of ideas. Any > > help is greatly appreciated. Thank you. > > Michelle > > This message is confidential, intended only for the > > named recipient(s) and may contain information that > > is privileged or exempt from disclosure under > > applicable law. If this message contains protected > > health information (PHI), it should not be forwarded > > to any other recipient without the authorization of > > the original sender and should be encrypted when > > possible. If you are not the intended recipient(s), > > you are notified that the dissemination, > > distribution or copying of this message is strictly > > prohibited. If you receive this message in error, or > > are not the named recipient(s), please notify the > > sender at either the email address or telephone > > number above and delete this email from your > > computer. > > > > Thank You. > > > > Michelle Witges > > > ===== > Jennifer RN BSN MDS Coordinator > > __________________________________ > Do you Yahoo!? > Free Pop-Up Blocker - Get it now > http://companion.yahoo.com/ > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
