Case Study
Ms Chan, a 45-year-old cosmetics sales, diagnosed to have DM and hypertension. Her mental status was stable and oriented. She reported that she had history of fall in last admission.
1. History of Fall
No = 0
Yes = 25
2. Secondary Diagnosis
¡@ No = 0
¡@ Yes = 15
3. Ambulatory Aid
- None/bedrest/nurse assist = 0
- Crutches/cane/walker = 15
- Furniture = 30
4. Intravenous Therapy/Heparin Lock
No = 0
Yes = 20
5. Gait
- Normal/bedrest/wheelchair = 0
- Weak = 10
- Impaired = 20
6. Mental Status
- Oriented to own ability No = 0
- Overestimated/forgets limitation Yes = 15
¡@ ¡@

Total :

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Home Menu Home Video
Introduction Menu Definition of Fall Types of Fall Fall Rate
Overview Menu What Is Fall ? Myths & Facts Impact of Patient Fall Definitions Who Will Fall ? At risk
Nursing Care Menu Multidimensional Approach Prevention Guidelines Accidental Falls Anticipated Physiological Falls Unanticipated Physiological Falls Prevention Program Enhance Awareness Standard Care Plan Strategies Nursing Diagnosis Nursing Interventions Use of Restraint and Bed Rails Importance of Documentation
Morse Fall Scale Menu Introduction History of Fall Secondary Diagnosis Ambulatory Aid IV Therapy/Heparin Lock Gait Mental Status Case Study
Report Menu Classification of Severity Evaluation Samples Crucial Factors