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assess individuals risk of fall The Morse Fall Scale (MFS) is a rapid and simple method of assessing a patient ’s likelihood of falling . [ 1 ] A large majority of nurses (82.9%) rate the scale as “quick and easy to use,” and 54% estimated that it took less than 3 minutes to rate a patient.
A nursing diagnosis may be part of the nursing process and is a clinical judgment about individual, family, or community experiences/responses to actual or potential health problems/life processes. Nursing diagnoses foster the nurse's independent practice (e.g., patient comfort or relief) compared to dependent interventions driven by physician ...
Harkreader, Helen and Mary Ann Hogan. Fundamentals of Nursing: Caring and Clinical Judgement. (2003) W B Saunders Co. ISBN 0-7216-0060-3 [1] ==External links== Glasgow coma scale; Morse Fall Assessment An assessment tool to determine and quantify persons as low, mid, and high risk for falls. Pressure Ulcer Staging Guide, from the Wound Care ...
People who are hospitalized are at risk for falling. A randomized trial showed that use of a tool kit reduced falls in hospitals. Nurses complete a valid fall risk assessment scale. From that, a software package develops customized fall prevention interventions to address patients' specific determinants of fall risk.
Gait Abnormality Rating Scale (GARS) [1] is a videotape-based analysis of 16 facets of human gait.It has been evaluated as a screening tool to identify patients at risk for injury from falls.
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The accuracy of the nursing diagnosis is validated when a nurse is able to clearly identify and link to the defining characteristics, related factors and/or risk factors found within the patients assessment. Multiple nursing diagnoses may be made for one client.
Fall prevention includes any action taken to help reduce the number of accidental falls suffered by susceptible individuals, such as the elderly and people with neurological (Parkinson's, Multiple sclerosis, stroke survivors, Guillain-Barre, traumatic brain injury, incomplete spinal cord injury) or orthopedic (lower limb or spinal column fractures or arthritis, post-surgery, joint replacement ...
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