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Falls CP High Risk Treatment Plan-V1.00-0310-TRE-CHOSP Version No 1.0 Version Date 01/01/2010 Review Date 01/01/2011 SURNAME NHS No FORENAME MALE ADDRESS D.O.B ___ ___ ____ □ FEMALE □ HOSPITAL WARD GP/Consultant FALLS HIGH RISK TREATMENT PLAN Date &Time Problem No Problem / Need Initials Stop Date …………………………. has been assessed under the DCHS falls risk assessment and is at HIGH risk of falls. Achieved Date/ Time Goals Agreed With Patient Initials Yes (Y) No (N) Date /Time & Initial To minimise the risk of falling. Page 1 of 2 Treatment Plan Is the person in agreement and compliant to this plan of care? If “No” document reason(s)/action(s) taken: Date and Time Yes □ No □ Treatment Plan Treatment to be Performed By Initials of Prescriber Considering any cognitive impairment will have an impact upon calling for assistance ensure the nurse call bell is in reach and implement additional strategies as required to minimise the risk of falling Considering any cognitive impairment will have an impact to orientation around the bed area /ward Highlight the layout of the ward including toilet areas to patients who may require to use the toilet more urgently. Implement additional strategies as required to minimise the risk of falling Ensure that personal effects (e.g. glasses, hearing aids etc) including mobility aids are within easy reach and that the environment is not cluttered. Is ……………………in the best location on the ward in relation to visual observation from the staff base Record postural blood pressure and report any abnormalities to appropriate clinician. Assess, plan and document management of night time activity. Report to appropriate Clinician to review all medication if more than 4 prescribed. Date requested …………………………………………. Consider nursing on a high/low bed at its lowest level with crash mat at the side Consider 1:1 nursing or request family assistance Consider use of sensor alarms if available to bed and/or chair Required yes / no Please circle Date applied …………………………………………………….. Check footwear is correctly fitted and if not inform relatives Date informed …………………………………… Ensure Manual handling plan is up to date MDT review Has the level of risk changed ? If no continue ,if yes complete a new risk assessment and plan Discharge . Is follow up required Yes / No (please circle) Document any actions taken Other actions to be considered Treatment Plan to be evaluated/reviewed minimum weekly or as changes occur © Copyright 2009 Quality & Integrated Governance Team, Derbyshire Community Health Services Page 2 of 2