Purpose of the Assignment
Identify strategies to reduce the risk of injury to clients in various environments. Course Competencies Select appropriate nursing interventions when providing multidimensional care to clients experiencing alterations in mobility. Prioritize strategies for safe, effective multidimensional nursing practice when providing care for clients experiencing sensory and perception disorders.ScenarioMr. Joe Smith, a 75-year-old male, recently suffered a left cerebrovascular accident. He has right visual field deficits and residual weakness in his right arm and leg. He uses a walker for mobility. He takes metoprolol for his blood pressure, and the physician started him on warfarin for a recent diagnosis of atrial fibrillation.InstructionsIn a one-page Word document, plan at least 6 interventions with a rationale that will promote an environment of safety for the client in the scenario above. Consider the client’s medical history and medications.
Use at least two scholarly sources to support your interventions and rationale. Be sure to cite your sources in-text and on a reference page using APA format
Reference:
Wilkinson, J. M. (2019). Fundamentals of Nursing (Two Volume Set) (4th ed.). F. A. Davis Company. https://ambassadored.vitalsource.com/books/9781719642132
Promoting Safety for a Client with Visual Field Deficits and Mobility Issues
When caring for a client with visual field deficits and residual weakness in their arm and leg, it is essential to prioritize strategies that reduce the risk of injury and create a safe environment. The following interventions, along with their rationales, aim to promote safety for Mr. Joe Smith.
Ensure Adequate Lighting: Maintain proper lighting in the client’s environment to enhance visibility and reduce the risk of falls or accidents. Good lighting can compensate for visual field deficits and help the client navigate safely. Rationale: Adequate lighting improves visibility, reduces the risk of tripping hazards, and promotes a safe environment (Wilkinson, 2019).
Remove Clutter: Declutter the client’s living space by removing unnecessary objects and obstacles that may pose a risk of tripping or falling. Create clear pathways to facilitate safe mobility. Rationale: Clearing clutter minimizes potential hazards and reduces the risk of falls or accidents (Wilkinson, 2019).
Install Grab Bars: Install grab bars in the bathroom, near the toilet, and in the shower to provide support and stability for the client. These grab bars can aid in maintaining balance and prevent accidents when using the bathroom. Rationale: Grab bars offer stability and support during transfers and reduce the risk of falls (Wilkinson, 2019).
Use Non-Slip Mats: Place non-slip mats in the bathroom, kitchen, and other areas prone to wetness or spills. Non-slip mats provide traction, reducing the risk of slips and falls for the client. Rationale: Non-slip mats enhance grip and stability, preventing accidents caused by slippery surfaces (Wilkinson, 2019).
Educate on Medication Side Effects: Educate the client on the potential side effects of warfarin, such as an increased risk of bleeding. Emphasize the importance of adhering to medication schedules and regular blood monitoring appointments to minimize complications. Rationale: Patient education empowers the client to understand potential risks and take necessary precautions to prevent adverse effects (Wilkinson, 2019).
Encourage Regular Exercise: Encourage the client to engage in regular exercise tailored to their abilities, focusing on strengthening their unaffected side and improving balance. Exercises such as chair yoga or physical therapy exercises can help enhance mobility and reduce the risk of falls. Rationale: Regular exercise improves strength, balance, and coordination, reducing the risk of falls and promoting overall physical well-being (Wilkinson, 2019).
In conclusion,
implementing these interventions can help create a safe environment for Mr. Joe Smith by addressing his visual field deficits and mobility issues. Adequate lighting, clutter removal, grab bars, non-slip mats, education on medication side effects, and regular exercise are essential strategies to reduce the risk of injury and promote Mr. Smith’s safety.
References:
Wilkinson, J. M. (2019). Fundamentals of Nursing (Two Volume Set) (4th ed.). F. A. Davis Company.