Falls In Hospice Patients

2.

Who is most at risk for falls?

A patient who calls for help every time he/she has to go to the restroom
An immobile patient who cannot get out of the bed without assistance
A patient who fell twice last month

Correct Answer

A. A patient who fell twice last month

Explanation

The patient who fell twice last month is most at risk for falls because their previous falls indicate a higher likelihood of falling again. This suggests that there may be underlying factors or conditions that increase their risk of falling, such as balance issues, mobility problems, or medication side effects. It is important to assess and address these risk factors to prevent future falls and ensure the patient's safety.

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3.

Effects of falls include (select all that apply):

Reduced mobility and independence
Increased risk for premature death
Bone fractures

Correct Answer(s)

A. Reduced mobility and independence
A. Increased risk for premature death
A. Bone fractures

Explanation

Falls can have various effects on individuals, including reduced mobility and independence. When someone falls, they may experience injuries that can limit their ability to move around and perform daily activities independently. Additionally, falls can increase the risk of premature death, particularly in older adults who may have other underlying health conditions. Bone fractures are also a common consequence of falls, as the impact can cause bones to break or fracture. These effects highlight the importance of fall prevention strategies and maintaining a safe environment to prevent such injuries.

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4.

While providing education for a patient’s primary care taker at home, which statement would indicate the need for additional teaching?

I will make sure all areas in the house are free of clutter.
I should keep the lights in the house dim so my dad can rest better.
I will encourage my father to use his walker whenever he gets out of bed.

Correct Answer

A. I should keep the lights in the house dim so my dad can rest better.

Explanation

The statement "I should keep the lights in the house dim so my dad can rest better" indicates the need for additional teaching because it suggests a misconception about the importance of adequate lighting for safety and mobility. Dim lights can increase the risk of falls and accidents, especially for someone using a walker. It would be more appropriate to educate the patient's primary caregiver about the importance of maintaining proper lighting conditions to ensure a safe and secure environment for the patient.

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5.

Which location had the most patient falls per 1,000 days?

Assisted living facilities
Home
Inpatient hospice facilities

Correct Answer

A. Inpatient hospice facilities

Explanation

Inpatient hospice facilities had the most patient falls per 1,000 days.

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6.

Who has the highest risk for falling?

A person who is dependent on ambulatory aids.
A person reluctant to ask for help.
A person who fears losing his or her independence.

Correct Answer

A. A person who fears losing his or her independence.

Explanation

A person who fears losing his or her independence has the highest risk for falling because they may be more likely to engage in risky behaviors or activities that could lead to a fall. This fear may prevent them from seeking help or using ambulatory aids, increasing their vulnerability to falls. Additionally, their fear may lead to a lack of confidence in their own abilities, resulting in decreased balance and coordination, further increasing their risk of falling.

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7.

A hospice patient who does not ask for help when getting out of bed has a low risk of falling.

True
False

Correct Answer

A. False

Explanation

The statement suggests that a hospice patient who does not ask for help when getting out of bed has a low risk of falling. However, this is not necessarily true. A patient's risk of falling is not solely dependent on whether they ask for help or not. Several factors such as their physical condition, balance, mobility, and environmental hazards can contribute to the risk of falling. Therefore, it is incorrect to assume that a patient who does not ask for help has a low risk of falling.

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8.

Which of these are included in the 4 P’s when assessing on hourly rounds?

Pain
Pulselessness
Pallor

Correct Answer

A. Pain

Explanation

When assessing on hourly rounds, pain is included in the 4 P's. This is because pain is an important aspect of a patient's well-being and should be regularly evaluated to ensure proper management and relief. By assessing pain during hourly rounds, healthcare professionals can identify any changes or worsening of pain levels and take appropriate actions to address it. This is crucial for providing optimal care and ensuring patient comfort and satisfaction.

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9.

What type of footwear is best for preventing falls?

Flip Flops
Non skid socks
Sneakers

Correct Answer

A. Non skid socks

Explanation

Non skid socks are the best type of footwear for preventing falls because they have a special grip on the sole that provides traction and prevents slipping. Unlike flip flops, which have no back strap and offer minimal support, and sneakers, which may have slippery soles, non skid socks have a design specifically aimed at reducing the risk of falls. They are particularly useful for individuals who may have difficulty maintaining balance or have a higher risk of falling, such as older adults or patients in hospitals.

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10.

According to the webinar, does rounding at least once an hour decrease falls?

Yes
No

Correct Answer

A. Yes

Explanation

The webinar suggests that rounding at least once an hour can decrease falls. This implies that regular check-ins and monitoring of individuals can help prevent falls by addressing any potential risks or hazards promptly.

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Falls In Hospice Patients

If a bed alarm is present it is okay not to check on the patient as long as the alarm does not sound.

Quiz Preview

Who is most at risk for falls?

Effects of falls include (select all that apply):

While providing education for a patient’s primary care taker at home, which statement would indicate the need for additional teaching?

Which location had the most patient falls per 1,000 days?

Who has the highest risk for falling?

A hospice patient who does not ask for help when getting out of bed has a low risk of falling.

Which of these are included in the 4 P’s when assessing on hourly rounds?

What type of footwear is best for preventing falls?

According to the webinar, does rounding at least once an hour decrease falls?