Author Question: An older patient has been admitted to the intensive care unit (ICU) after falling at home. Within 8 ... (Read 117 times)

audie · **on:** Jun 25, 2018

An older patient has been admitted to the intensive care unit (ICU) after falling at home. Within 8 hours, his condition has stabilized and he is transferred to a medical unit. The family is wondering whether he will be able to go back home.

Which assessment instrument is most appropriate for the nurse to choose at this time?
a.
Lawton IADL instrument
b.
Hospital Admission Risk Profile (HARP)
c.
Mini-Cog
d.
NEECHAM Confusion Scale

Question 2

During a functional assessment of an older person's home environment, which statement or question by the nurse is most appropriate regarding common environmental hazards?

a. These low toilet seats are safe because they are nearer to the ground in case of falls.
b. Do you have a relative or friend who can help to install grab bars in your shower?
c. These small rugs are ideal for preventing you from slipping on the hard floor.
d. It would be safer to keep the lighting low in this room to avoid glare in your eyes.

Bison · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
Hospital-acquired functional decline may occur within 2 days of a hospital admission. The HARP helps identify older adults who are at greatest risk of losing their ability to perform ADLs or mobility at this critical time. The Lawton IADL measures instrumental activities of daily living, which may be difficult to observe in the hospital setting. The Mini-Cog is an assessment of mental status. The NEECHAM Confusion Scale is used to assess for delirium.

Answer to Question 2

ANS: B
Environmental hazards within the home can be a potential constraint on the older person's day-to-day functioning. Common environmental hazards, including inadequate lighting, loose throw rugs, curled carpet edges, obstructed hallways, cords in walkways, lack of grab bars in tub and shower, and low and loose toilet seats, are hazards that could lead to an increased risk of falls and fractures. Environmental modifications can promote mobility and reduce the likelihood of the older adult falling.