Safety
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Chapter 26
Safety, Security, and Emergency Preparedness
Factors Affecting Safety
Developmental Considerations
Lifestyle (ex, occupations, recreational activities, environments)
Mobility
Sensory Perception (ex. Impairment in sight, hearing, smell, taste, touch)
Knowledge (awareness of safety and security precaution)
Ability to communicate
Physical Health State
Psychosocial Health State
The Nursing Process for Maintaining Safety
Assessment
Assessing the Individual
Nursing History Ð- ex history of accidents, assistive devices)
Physical Examination (assess mobility status, ability to communicate, level of awareness or orientation, sensory perception)
Assessing the Environment (risk in home, community, healthcare agency)
Performing A specific Risk Factor Assessment
Falls – especially elderly
Fires Ð- many home fires started because someone smoked in bed or fell asleep while smoking
Poisoning
Accidental poisoning in children
Older person Ð- inadvertently take overdose of medication
Poison Control Centers Ð- provide checklists for poison-proofing a home and provides lists of toxic household items
Suffocation and Choking
Asphyxiation Ð- suffocation
Incidence greatest in children
Firearm Injuries
Nursing Diagnosis
Outcome Identification and Planning
Implementation
Acquiring First-Aid Knowledge
Teaching to Prevent Accidents
Preventing Injury Ð- Four Es
Engineering (Modifying environment)
Enforcement (laws/regulations that can modify individual behavior)
Education (persuading individual at risk to change behavior)
Economics (financial incentives for implementation of injury control measures)
Addressing Developmental Considerations
Neonate and Infant
Fetus: avoid alcohol, smoking, all drugs, exposure to pesticides, radiation, environmental chemicals
Neonate Ð- place on back to sleep, support head, infant car seat, never leave them unsupervised
Infant Ð- all 50 states mandate use of infant car seats
1 year Ð- front facing seat
Toddler and Preschooler
Parents need to childproof home environment
Ingestion of poison major threat
Be alert to manifestations that indicate child abuse
School Aged Ð- bicycle accidents
Adolescents Ð- motor vehicle accidents, tobacco, body piercing, use of guns
Adult Ð- effects of stress; domestic violence
Older Adult Ð- falls, fires, motor vehicle accidents , burn injuries
Orienting Person to Surroundings
Preventing Falls
Preventing Falls in Home
Installing hand rails in bathroom, ensuring good lighting, discarding or repairing broken equipment
“Get up and Go” Test
Preventing Falls in Healthcare Facility
Restraints Ð- physical devices used to limit a patients

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Poison Control Centers And Older Person. (June 21, 2021). Retrieved from https://www.freeessays.education/poison-control-centers-and-older-person-essay/