Second OpinionsWhat is the best way to prevent falls at...

What is the best way to prevent falls at home after surgery?

At our outpatient orthopedic surgery center, we have noticed an increase in patient falls during our post op phone calls. We are looking for suggestions on how to prevent this problem. The surgeon's office does not offer much pre-op teaching. The staff is frustrated about trying to teach fall prevention at home the day of surgery.

Started by: Joanne Long (Other) at March 30, 2017 (1:23 pm)

Comments and Responses

 

Before discharging the patient ensure he/she have a full understanding of his current mobility and limitations. If they need mobility aids they know to properly use it and teach any technique they can use for daily basis.

Dianna Jane h. (Other) at May 30, 2017 (3:12 am) [last edited on May 30, 2017 (3:15 am)]

The center could initiate preoperative teaching with Physical Therapy involvement, then postoperative return demonstration for nursing assessment/re-enforcement. Have the family involved in the teaching process and return demonstration also.
V. Richardson, RN
Vera Richardson MSN,RNC (other)at May 20,2017 (12:04pm)

Vera Richardson (OR Manager/Supervisor) at May 20, 2017 (12:05 pm)

The ortho association has a pt education film that talks about what pts can do at home to get ready for ortho surgery, like moving furniture, rugs, etc. You might want to try talking with them. I actually saw this in my doctor's office.

Tracy R. (Director, Surgical Services/Director of Nursing) at March 31, 2017 (10:02 am)

The center could include fall prevention education for all patients in the center's pamphlet which the surgeon's office would give to each patient preoperatively. C. Ardoin BSN RN IP

C. Ardoin (Other) at March 31, 2017 (8:57 am)

If the patients have received a regional block on their lower extremities, we give them a walker. It does not matter their age. They are then instructed on how to use it and have to give a return demonstration. It's actually a policy. We noticed that all patients who have regional blocks are unsteady post-op. We also encourage a responsible adult be home and available to them for 24 hours.
E. Murphy, RN

Elizabeth Murphy (Other) at March 31, 2017 (8:52 am)

If the patient's are receiving a block this could factor in to their falling at home.

Thersa Barker (Administrator/Director/Manager/Owner/Exec. Officer) at March 31, 2017 (8:15 am)

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