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Polypharmacy, or taking more than four medications, has been related to increased falls. 8. Completely orient consumer to environment. Place name light within reach and show the best way to call for help; reply name light promptly. 9. Use 1/4- to 1/2-size facet rails only, and maintain bed in a low place. Be certain that wheels are locked on bed and commode. Keep dim mild in room at night time.

Use of full facet rails can outcome within the client climbing over the rails, leading with the head, and sustaining a head harm. 10. Routinely help shopper with toileting on his or her own schedule. All the time take consumer to bathroom on awakening, before bedtime, and earlier than administering sedatives (Wilson, 1998). Keep the path to the bathroom clear, label the bathroom, and depart the door open. The vast majority of falls are related to toileting.

11. Keep away from use of restraints; obtain a physician's order if restraints are necessary. 14. If client has a brand new onset of confusion (delirium), provide actuality orientation when interacting. Have family bring in familiar gadgets, clocks, and watches from dwelling to keep up orientation. Actuality orientation may help forestall or lower the confusion that will increase danger of falling for shoppers with delirium.

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