支氣管鏡檢查須知(Flexible Bronchoscopy)
【Learning Points】
- Restlessness, dizziness, poor vision, needing to go to the toilet frequently or using fall-prone drugs may cause falls.
- Assess whether you are in a high-risk group for falls, such as being agitated, having poor vision, needing to go to the toilet frequently, dizziness, or using fall-prone drugs, etc. If one of the above options is met, you are a high-risk group for falling.
- Take protective measures to prevent falls. For example, do not leave the patient alone near the bed. When getting out of bed, you should wear non-slip shoes and clothes of appropriate size, fix the bed wheels, and lower the bed to the lowest height.
I. Co-care intervention of preventing fall
- Make sure the bed wheel is locked, and keep the height of bed in lowest.
- Providing the extension line of red button and put it in the range of patient can reach easily.
- Materials in common use set within its range of vision and could take easily.
- DO NOT leave patient alone while patient is sitting on the bedside. Choose the armchair to sit.
- Use the bath chair in taking shower.
- Put on or take off the clothes in sitting position. DO NOT stand on one leg.
- Please inform nurses about wetting floor any time.
- Put on fitted cleats when patient get out of bed and moving.
- Keep the length of pants above ankles.
- After surgery, chemo-therapy or any examinations, do not get out of bed if you feel dizziness or weakness.
II. The strengthening of the prevention measures
- Fell before or admission for falling
- To understand the cause of falling and carry out the prevention measures by patient condition.
- To understand the cause of falling and carry out the prevention measures by patient condition.
- Irritation
- Caregivers should call out nurses by using red button, and keep watching the patient.
- Caregivers should stay with patient all the time as possible as you can, please inform the nurses and keep patient in safe condition, if you have to leave for a while.
- Considering about the patient safety, healthcare team will discuss with you for patient too irritation to obey medication treatment, then give the appropriate protective restrain.
- Pull up the bed rails and make sure it is locked when patient stayed in bed.
- Poor visibility to affect daily life
- Wear appropriate glasses by patient need and put it beside could take easily.
- Keep hallway of the ward well-lit.
- DO NOT pile up the personal belonging and keep aisle clear to avoid falling.
- Make sure table and chair secured.
- Educate patient to use red button for assistance, do not get out of bed alone.
- Caregivers should sleep near the bedside, it’s easy for patient to call help.
- Pull up the bed rails and make sure it is locked when patient stayed in bed.
- Go to toilet very often (frequent urination or diahrrea)
- Select suitable way to toilet.(Urinal、bedpan、Commode Chairs)
- Caregiver should accompany with patient during the toilet all the time or use red button for help, if patient feel weakness.
- Cut down water or liquid food after dinner.
- Go to bathroom before sleeping, reducing toilet times at midnight.
- Ask for assistance to displacement and activity by yourself
- Caregiver should stay with patient all the times, please inform the nurses and keep patient in safe condition, if you have to leave for a while.
- Increasing muscle strength and activity skills with rehabilitation exercise.
- Caregivers should be proficient in displacement skills. (Such as from the bed to the wheelchair etc.), request assistance from nurses if necessary.
- Use of appropriate assistive devices when you out of bed (canes, walkers, wheelchairs).
- Use of handrails or bed rails to support the body when change positions.
- Put on fitted cleats in getting out of bed.
- Educate patient to use red button for assistance, do not get out of bed alone.
- Pull up the bed rails and make sure it is locked when patient stayed in bed.
- Caregivers should sleep near the bedside, it’s easy for patient to call help.
- Select the appropriate way to toilet.(Urinal, Bedpan, Commode chairs)
- Cut down water or liquid food after dinner.
- Go to bathroom before sleeping, reducing toilet times at midnight.
- Dizzness
- Rest in bed if necessary and avoid getting out of bed.
- Pull up the bed rails and make sure it locked when patient stayed in bed.
- Educate patient to use red button for assistance, do not get out of bed alone.
- When get out of bed or change positions should be performed progressively: change the lying position to a sitting position should slowly sit up first and then sit on the bed edge for 1-3 minutes ,if no symptoms of dizziness, and then stand up for 1-3 minutes, and can start walking if no symptoms of dizziness.
- When patient have dizziness by walking, should leaning against the wall slowly sit down, and request assistance.
- Select the appropriate way to toilet.(Urinal, Bedpan, Commode chairs)
- Cut down water or liquid food after dinner.
- Go to bathroom before sleeping, reducing toilet times at midnight.
- Caregiver should stay with patient all the times, please inform the nurses and keep patient in safe condition, if you have to leave for a while.
- Caregivers should sleep near the bedside, it’s easy for patient to call help.
- taking the medicine that might let you fall(such as: sedative Hypnotics, opioid, antipsychotics, Anti-depressant, etc.)
- Must be pay attention to the situation after taking medicine, reducing get out of bed and pay attention to safety.
- If feel weakness,the caregiver must assist the patient to get off the bed for some activities or go to the toilet at all time,or use of call bell for help.
- Go to the toilet before bedtime, to reduce the chance of going to the toilet at midnight.
- Cut down water or liquid food after dinner.
- Select the appropriate way to toilet.(Urinal, Bedpan, Commode chairs)
- Caregivers should sleep near the bedside, it’s easy for patient to call help.
※High-risk fall groups: As long as one of them is, the more items, the greater risk of falling.
※Please add fall prevention icon in the wrist tag
；Placing "fall prevention" sign at the bedside.
；Placing "fall prevention" sign at the bedside.簡易測驗
Let us take the quiz to make sure that you understand.
評語
請登入後才可以評分
未登入或權限不足!
- 位置
-
- 資料夾名稱
- English
- 發表人
- 張祐維
- 單位
- 中榮護理衛教
- 英文名稱
- Fall Prevention
- 分類
- 安全
- 科別
- 英語
- 癌症照護
- 否
- 建立
- 2024-02-24 00:50:59
- 制訂日期
- 2018-05-21
- 最近修訂
- 2024-03-19 11:52:00