Safety Case Study A 64-year-old client with early stages of dementia is admitted to the medical unit for dizziness and lethargy. On admission she is...

Safety Case Study

A 64-year-old client with early stages of dementia is admitted to the medical unit for dizziness and lethargy. On admission she is alert and oriented to time, place, and person. She answers questions appropriately and verbalizes understanding of instructions. She does exhibit periods of forgetfulness and an unsteady gait occasionally.

Is this patient a fall risk? Why or why not?

Provide 2 examples and please be specific.

List 2 evidenced-based fall risk assessment tools that could be used.

What measures should the nurse implement to reduce this client's risk of falling?

The client does well throughout their admission and is pending discharge from the hospital. The son expresses concern his mother may fall at home and not be discovered for a number of hours.

List 3 recommendations the nurse should make?

What resources (minimum of 2) can the nurse recommend for these recommendations?