Safety

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Trace DC19-3

DiraChart Clinical Reference
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1. Purpose and clinical relevance

DiraChart Clinical Reference

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2. What the clinician must assess

A complete assessment addresses each of the following each visit, scaled to the patient's diagnosis and stability:

  • Fall risk — history of falls, gait and balance, dizziness or orthostatic symptoms, vision, footwear, polypharmacy, and environmental contributors.
  • Home-environment hazards — clutter, throw rugs, lighting, stairs and railings, bathroom safety, cords, and pets.
  • Medication safety — storage, organization, the patient's understanding, polypharmacy, high-risk medications, duplications or errors, and expired medications.
  • Emergency preparedness — a working phone, emergency contacts, smoke and carbon-monoxide detectors, the ability to evacuate, oxygen safety where applicable, and a backup plan for power-dependent equipment.
  • The ability to summon help in an emergency.
  • Wandering or elopement risk when cognitive impairment is present (assessed with Cognitive / Mental Status).
  • Indicators of abuse, neglect, or self-neglect.
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