Nursing Care Plan and Diagnosis for Risk for Falls | 合法醫療器材資訊網

Thisnursingcareplanisforpatientswhoareatriskforfalls....asBenzodiazepinesorhypertensionmedication,orpatientsthathaveanunsteadygait.

This nursing care plan[1] is for patients who are at risk for falls. According to Nanda the definition for falls is the state in which an individual has an increased susceptibility to falling. Many patient who falls suffer bodily injuries such as breaking a hip or internal brain swelling due to the impact of the fall. Nurses need to take many precautions in preventing falls in patient who are at risk for falling.

Every shift nurses assess patient fall risk. Patients who are at risk for falls include patients who have had a fall in the past 3 months, are taking medications that may increase falls such as Benzodiazepines or hypertension medication, or patients that have an unsteady gait. The most common tool used to assess a patient’s fall risk is the Morse Fall Risk Assessment. Below are the criteria for the tool: