Download Falls CP High Risk Treatment Plan

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.
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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
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