Related Factors: See Risk Factors
Risk Factors:
Adults
- History of falls;
- wheelchair use;
- (65 years of age;
- female (if elderly);
- lives alone;
- lower limb prosthesis;
- use of assistive devices (e.g., walker, cane)
- Presence of acute illness;
- postoperative conditions;
- visual difficulties;
- hearing difficulties;
- arthritis;
- orthostatic hypotension;
- sleeplessness;
- faintness when turning or extending neck;
- anemias;
- vascular disease;
- neoplasms (i.e., fatigue/limited mobility, urgency and/or incontinence, diarrhea, decreased lower extremity strength, posprandial blood sugar changes, foot problems, impaired physical mobility, impaired balance, difficulty with gait, unilateral neglect, proprioceptive deficits, neuropathy)
- Diminished mental status (e.g., confusion, delerium, dementia, impaired reality testing)
- Antihypertensive agents;
- ACE-inhibitors;
- diuretics;
- tricyclic antidepressants;
- alcohol use;
- antianxiety agents;
- opiates;
- hypnotics or tranquilizers
- Restraints;
- weather conditions (e.g., wet floors/ice);
- throw/scatter rugs;
- cluttered environment;
- unfamiliar, dimly lit room;
- no antislip material in bath and/or shower
- Male gender when <1 year of age;
- lack of auto restraints; lack of gate on stairs;
- lack of window guard; bed located near window;
- unattended infant on bed/changing table/sofa;
- lack of parental supervision
NOC Outcomes (Nursing Outcomes Classification)
Suggested NOC Labels
- Safety Behavior: Fall Prevention
- Knowledge: Child Safety
- Remains free of falls
- Changes environment to minimize the incidence of falls
- Explains methods to prevent injury
NIC Interventions (Nursing Interventions Classification)
Suggested NIC Labels
- Fall Prevention
- Dementia Management
- Safety
