Think of an elderly patient upon whom you performed a physical assessment, such as a new admission to the unit. Describe this patient by age, gender, and diagnoses. Based on your readings and the available assessment tools provided in the Try This resources (found in the Activities section of the unit), select which assessments would be necessary for this patient. What would need to be included in your plan of care to prevent complications? Defend your responses. # case scenario: BCAS arrives with Henry; 85 yrs; fell off his ladder while cleaning his leaves troughs; suspect he has #d right arm and ankle. Bruise on forehead. Fall Risk Assessment for Older Adults: The Hendrich II Fall Risk Model Geriatric Giant: FALL and Injury Screen for Falls:Have you had a fall in the last 6 months? If YES, then refer for assessment (e.g. physiotherapist, occupational therapist, specialized clinic, GP)*** Acutely ill older adults at ALL at high risk for a fall and injury Contributing Factors Contributing Orthostatic hypotension (BP drop: lying to standing): systolic, drop of >20 or diastolic, any standing): systolic, drop of >20 or drop, in up to 3 minutes Medications: diuretics, antihypertensives, sedatives, neuroleptics, benzodiazepines, narcotics Cerebrovascular disease, Lower limb weakness, gait problems, numbness .etc. impaired judgement/altered mental status sensory impairment (vision, hearing, proprioception balance) ALERT! Osteoporosis/Osteopenia Loss of cross struts inside of bone leads to fragility fractures Vertebral #s predict future hip # TREAT early! Calcium & Vit.D Bisphosphanates calcitonin estrogen modulators, parathyroid hormone Weight bearing, resistant exercises Safe environment Bed rails down unless assessed otherwise Pathways clear of clutter Bed and chairs in locked position Adequate and appropriate lighting Assist with mobility Safe and regular toileting Mobility assist documented Assistive devices within patient reach Fall risk reduction Call bell in patients reach Bed lowered to patients knee height Personal items reachable Proper footwear available and in use Engage patient and family Discuss risk factors with patient and family Communicate mutual plan Do you want your assignment written by the best essay experts? Order now, for an amazing discount.