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Word: This nursing diagnosis overlaps with different diagnoses corresponding to Risk for Falls, Threat for Trauma, Threat for Poisoning, Risk for Suffocation, Threat for Aspiration and, if the consumer is prone to bleeding, Ineffective Safety. See care plans for these diagnoses if appropriate. Related Factors: See Risk Factors. 1. Completely orient shopper to environment. Place name gentle inside reach and present how one can call for help; reply name gentle promptly. 2.
Keep away from use of restraints. Get hold of a physician's order if restraints are mandatory. 4. If shopper is extraordinarily agitated, think about using a special security bed that surrounds consumer. If consumer has a traumatic mind harm, use the Emory cubicle bed. 5. If client has a new onset of confusion (delirium), present reality orientation when interacting with him or her. Have family usher in familiar gadgets, clocks, and watches from house to maintain orientation.
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