Wednesday, December 3, 2014

For Work

Reasons Patients Fall:

1. Position, they were sitting too long, lying on one side too long, they were
getting restless and bored in their present surroundings so they had a
need to move their position.

2. Personal needs/potty
3. Pain, so they were becoming uncomfortable, aching and hurting, so they
needed to move to relieve themselves of the pain.

4. Placement of their personal items, their glasses were out of reach, the
tissue box or telephone, call light button in reach: so it was the placement of a personal item that
they were getting up for that led to them falling.


Interventions:
FOLLOW CARE DIRECTIVES
  1. Appropriate activities through out day, allowing pt to walk as much as possible as part of their normal routine (to meals, to the toilet, to an activities), Standing during bingo, standing at table before meals, standing at rails in hallway

  1. and 3. Quick Response time to call lights (less than 5 mins, ideally 1-2 minutes), knowing your residence typical bowel and bladder habits and taking them during the time they normally need to go, adhering to timed toileting programs, noticing pre-toileting behaviors such as fidgeting, restlessness. Maintaining ROM programs. Timely pain medication management.
  1. a) Adequate lighting and access to overhead light if they are able to use. (http://www.lrc.rpi.edu/programs/solidstate/cr_innovativeSolutions.asp)
    b) Correct height on bed = 90 degrees – never a low/high bed. Return bed height after changing linen.
    c) If you move anything in the room, return it to correct position (lock Wheelchairs, walkers close to/far from resident, return bed side commodes where they belong for that time of day)
    d) Appropriate use of bed transfer bars for mobility


Other Building Strategies:

Consistent Staffing so Nurses and CNA's know their residents
Spreading out Mon-Fri staff (Rehab, Office, Admin...)
Appropriate use of weighted dolls and blankets
Contrasting Toilet Seats (black with white floors), Bright bed comforters, Bright shoes on residence, brightly colored tubing on call lights, glasses and other personal items
Appropriate use of anti-roll back or automatically locking brakes on Wheelchairs

Thursday, May 15, 2014

Monday, March 3, 2014

Abby 17 months


Sweet Abby! You are such a big girl now!  You no longer toddle, can run, do a somersault, go up and down the stairs (although safety when you try to go down forward is not so great), and climb about anything! So grown up and yet so little coming in at less than 30 inches and 18 1/2 pounds. In the last 2 weeks your language skills have really blossomed! For a while you have been saying mama, dada, hi, muck (milk), gog(dog), bd(bird), jack, ahh (autumn), hss(horse), In the last couple of weeks you've added bup(up), nana, papa, baw(ball), talk, my(mine), bk(book), trk(truck)

You truly think you can do anything and firmly stand your ground when you want something.  You enjoy climbing our new play set and continue to go down the slide even though it is fast and you've crashed at the bottom a couple times. You love the water and splashing in the ocean!  You've grown more comfortable on the stand up board and laugh joyfully when bigger waves hit us on the shore.  The last couple of weeks we've sat and watched whales, although I don't think you've seen them, when we ask where is the whale you point out at the ocean.    There are horses that live across the street and you love to go look at them and frequently walk out the carport to see if they are there. Sometime you enjoy following Autumn around doing exactly what she is and wanting what is in her hands and other times you like to do your own thing and wander off.

Things you love:
Shoes - giving us ours, picking your own and trying on any pair laying around
Eating - California rolls, fruit, smoothies, eggs, bananas, avocados, oatmeal, cream cheese, yogurt...
Dancing - when music comes on you drop everything and bounce to the rhythm
Being outside - doing anything, going on walks
Getting into daddy's office then pushing buttons and touching the computer
Opening and especially closing any door
Putting lids on and taking them off containers
Sitting on the toilet, taking a single sheet of tp and rubbing your hip with it and then throwing it in the toilet
Pushing the tv button, we have to unplug it to keep it off.
Mamas milk
Being tossed,held up high and flying
Dangling from bars and trees
Hanging out with Jack
Posing for the camera

Things you do not like:
Napping
Being held by others (not mama or dada) or talked or reached at by strangers
Not getting thing someone else has
Being put down if you want held
Leaving mama

Abby we love you to the moon and back! Keep growing, loving life and smiling! 

Xoxo,
Mama and Dada