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Safety
Is the person a safety risk? • Why?
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• What potential factors might affect the person’s safety? • Does the person demonstrate safety awareness? • Is the person auditory or visually impaired? • How does this affect their safety? • Is the room cluttered or floor wet? • Are there toxic chemicals or other unsafe items in the room/bathroom? • Is the person taking medications that might affect their safety or safety awareness? • What affect might they have? • Are there mobility issues that could affect the person’s safety? • What ADL self‐care is the person able to perform? • What assistance does the person require? • Why? • When was the last linen change? • Last Bath/Shower? • Is the patient continent of bowel/bladder? • Do they use briefs? • Is the person free of odors, clean, and well groomed? • Is there mobility, pain, or other issues that affect the patient’s ability to perform self‐care? • Does the person require education or modifications to improve self‐care?
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Hyg i ene
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Is the person in pain? • How does the person describe their pain (location, severity, quality, duration, etc.)? • What has worked in the past to relieve the pain? • Is the pain chronic or acute? • Does the person have prescribed pain medications? • How often are these taken? • Does pain affect the person’s overall health and abilities? • Does the person feel that their pain is adequately controlled? • Does the client require education regarding pain management?
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Pain
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• How well is the person sleeping (hours/night)? • What helps the person relax and sleep? • Are there potential factors in the environment that may inhibit sleep (sounds, smells, light)? • Does the person use medication or other alternatives for sleep problems? • How often are these being used? • Are they effective? • Is safety an issue in using them? • Does the person require teaching regarding their use?
Sleep
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