Hester Davis Fall Risk Activity

Froggy Jumps

(13)

Jugadas 460 %Acierto 83 Tiempo medio 02:49

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This activity is to assess the appropriate documentation for Hester Davis Fall Risk.

Creada por

kathryn

Estados Unidos

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Hester Davis Fall Risk Activity


Froggy Jumps Hester Davis Fall Risk ActivityVersión en línea This activity is to assess the appropriate documentation for Hester Davis Fall Risk. por kathryn 1 Your patient is admitted for possible LOC and was found on the floor by family. The patient stated she thinks she slid to the floor, no injuries reported. Upon arrival, the patient has UTI. Document Last Known Fall. a 1 = Within the last year b 2 = Within the last six months c 3 = Within the last month 2 Your patient requires 2 people to assist her as she complains of feeling weak when she stands up. Document Mobility. a 1 = Dizziness/generalized weakness AND 3 = Use of assistive devices, two person assist b 1 = Dizziness/generalized weakness AND 2 = Immobilized / one person assist c 3 = Use of assistive devices, two person assist 3 Your patient is prescribed the following medications during hospitalization: Ceftriaxone, metoprolol, Zofran (PRN), Colace, Dilauded (PRN), Normal Saline Fluids. Document Medications. a 1 = Cardiovascular OR CNS medications b 2 = Cardiovascular AND CNS medications c 1 = Cardiovascular OR CNS medications AND 3 = Diuretics 4 Your patient is oriented to herself but has memory loss & doesn't know where she is. She was noted to be non-compliant when instructed to use the call bell before getting out of bed & needs constant reorientation. Document Mental Status/LOC/Awareness a 1 = Oriented to person and place b 2 = Lethargic / oriented to person only c 2 = Lethargic / oriented to person only AND 3 = Memory loss / confusion & requires reorienting 5 Your patient is complaining of feeling nauseous and has urinary urgency, needing assistance to the bedside commode. Document Toileting. a 2 = Use of assistive device - bedside commode AND 4 = Diarrhea / frequency / urgency b 4 = Diarrhea / frequency / urgency c 2 = Use of assistive device - bedside commode AND 3 = Incontinence 6 Your patient is complaining of feeling nauseous and is asking for an anti-nausea medication. She is receiving IV fluids for her UTI diagnosis. Document Volume / Electrolyte Status. a 1 = NPO greater than 24 hours b 2 = Use of IV fluids / tube feeds AND 3 = Nausea / vomiting c 3 = Nausea / vomiting 7 Your patient requires hearing aids and is a non-English speaker. Document Communication / Sensory. a 0 = No Problems b 1 = Visual (glasses) / hearing deficit AND 2 = non-English patient /unable to speak / slurred speech c 2 = Non-English patient / unable to speak / slurred speech 8 Your patient has a history of anxiety and is non-compliant when instructed to use the call bell before getting out of bed and needs constant reorientation. Document Behavior a 1 = Depression / anxiety AND 2 = Behavioral noncompliance with instruction b 2 = Behavioral Noncompliance with instruction c 4 = Impulsiveness 9 After your documentation, your Hester Davis Score is a 31. Is this patient a Low, Moderate, or High fall risk? a Low b Moderate c High

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Hester Davis Fall Risk Activity

Froggy Jumps

Sobre esta actividad

Creada por

Descarga la versión para jugar en papel

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Froggy Jumps

Hester Davis Fall Risk ActivityVersión en línea

por kathryn

Your patient is admitted for possible LOC and was found on the floor by family. The patient stated she thinks she slid to the floor, no injuries reported. Upon arrival, the patient has UTI. Document Last Known Fall.

Your patient requires 2 people to assist her as she complains of feeling weak when she stands up. Document Mobility.

Your patient is prescribed the following medications during hospitalization: Ceftriaxone, metoprolol, Zofran (PRN), Colace, Dilauded (PRN), Normal Saline Fluids. Document Medications.

Your patient is oriented to herself but has memory loss & doesn't know where she is. She was noted to be non-compliant when instructed to use the call bell before getting out of bed & needs constant reorientation. Document Mental Status/LOC/Awareness

Your patient is complaining of feeling nauseous and has urinary urgency, needing assistance to the bedside commode. Document Toileting.

Your patient is complaining of feeling nauseous and is asking for an anti-nausea medication. She is receiving IV fluids for her UTI diagnosis. Document Volume / Electrolyte Status.

Your patient requires hearing aids and is a non-English speaker. Document Communication / Sensory.

Your patient has a history of anxiety and is non-compliant when instructed to use the call bell before getting out of bed and needs constant reorientation. Document Behavior

After your documentation, your Hester Davis Score is a 31. Is this patient a Low, Moderate, or High fall risk?