【Learning Points】
- Effects on home safety causes: sick people's consciousness, old age, multiple co-morbidities, the safety of urinary clothing, the safety of sleeping clothes, and the calmness of sleeping clothes.
- Adoption methods for home environment safety: home light rays sufficient; use heat safety; home run road wheel chair advancement, safety and safety, anti-slip.
I.Factors affecting home security:
- Old, frail, and visual decline that lead to poor orientation, unsteady gait or fainting.
- Unconsciousness or agitation.
- Environmental changes or unaccompanied.
- Disease factors such as hypothyroidism, Parkinson's disease, stroke hemiplegia, diabetes, neuropathy, dementia, and degenerative arthritis.
- Take diuretics and antihypertensive drugs at the same time caused postural hypotension.
- Take sedative and hypnotic drugs lead to dizziness, walking instability or limb weakness, and postural hypotension.
- Abnormal skin sensations (as tingling or tickling or itching or burning) usually associated with peripheral nerve damage.
II.The methods to have a safe home environment:
- To keep home light adequately. You can install fluorescent lamp indoor, moreover enhance at bedside, aisle, staircase, medicine cabinet, etc.
- When you use electric blanket or hot water in winter don’t contact with the skin directly to avoid being burned. If necessary, you can use electric heater or wear
- socks to keep warm instead.
- The walkway adopts barrier-free space, and the road surface should be flat to facilitate wheelchair entry and exit.
- Don’t place the wires under carpet to avoid causing a fire.
- Handles can be installed on the side of the toilet, sink, bath and wall.Should be installed on the health side for ease of use.
- If the patient is lying in bed, the bed rails must be pulled up or a soft cushion can be placed beside the bed, In case of falling injury.
- Pull up the bed bar when the patient is sober but have a risk of falling out of bed.
- To avoid sliding on the slope, pay attention to the handbrake usage when using a wheelchair. When helping the patient to sit or to leave the wheelchair, put away the pedal first so as not to hurt the legs.
- Use the mitts, a type of the hand restraint that helps prevent patient purposely or inadvertently pulling out nasogastric tube, catheter or trachea tube.
- If the patient falls down, please feel free to contact your home care provider and call for help if necessary.
III.Conclusion
It is expected that the elderly can live in a familiar environment, and provide a comfortable and safe space, avoid accidental injury, and delay the degradation of behavior.
Home care center telephone: (04)23592525 turn 6413、6416、6417
Contact Address:1650 Taiwan Boulevard Sect. 4, Taichung, Taiwan 40705, ROC
Taichung Veterans General Hospital Palliative Home Care
IV.Reference
- 財團法人佛教慈濟綜合醫院長者防跌計畫團隊編輯 (2021,2月)・長者防跌妙招手冊・衛生福利部國民健康署出版。https://www.hpa.gov.tw/ Pages/EBook.aspx?nodei d=1193
- 陳雪芬(2020)・從社區長者觀點探討健康信念、行動線索與自我效能對採取預防跌倒行動可能性之影響・福祉科技與服務管理學刊,8(4), 299-317。 https://doi.org/10.6283/JOCSG.202012_8(4).299
- Harrison, S. L., Dyer, S. M., Laver, K. E., Milte, R. K., Fleming, R., & Crotty, M. (2022).Physical environmental designs in residential care to improve quality of life of older people.The Cochrane Database of Systematic Reviews,3(3), CD012892. https://doi.org/10.1002/14651858.CD012892.pub2