【Learning Points】
  1. 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.
  2. 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: 
  1. Old, frail, and visual decline that lead to poor orientation, unsteady gait or fainting. 
  2. Unconsciousness or agitation.
  3. Environmental changes or unaccompanied.
  4. Disease factors such as hypothyroidism, Parkinson's disease, stroke hemiplegia, diabetes, neuropathy, dementia, and degenerative arthritis.
  5. Take diuretics and antihypertensive drugs at the same time caused postural hypotension.
  6. Take sedative and hypnotic drugs lead to dizziness, walking instability or limb weakness, and postural hypotension.
  7. 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: 
  1. To keep home light adequately. You can install fluorescent lamp indoor, moreover enhance at bedside, aisle, staircase, medicine cabinet, etc.
  2. 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
  3. socks to keep warm instead.
  4. The walkway adopts barrier-free space, and the road surface should be flat to facilitate wheelchair entry and exit.
  5. Don’t place the wires under carpet to avoid causing a fire.
  6. 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.
  7. 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.
  8. Pull up the bed bar when the patient is sober but have a risk of falling out of bed. 
  9. 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.
  10. Use the mitts, a type of the hand restraint that helps prevent patient purposely or inadvertently pulling out nasogastric tube, catheter or trachea tube. 
  11. 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.
 
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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
  1. 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 
  2. 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 
  3. 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
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    位置
    資料夾名稱
    English
    發表人
    黃郁琇
    單位
    中榮護理衛教
    英文名稱
    How to maintain the safety of home environment
    分類
    安全
    科別
    英語
    癌症照護
    建立
    2024-01-29 01:02:32
    制訂日期
    2017-09-08
    最近修訂
    2024-03-21 14:17:00
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