Nursing Care Plan

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Medical Diagnoses: Risk for Falls, Decreased mobility


Nursing DX/Clinical Problem

Client Goals/Desired Outcomes/Objectives

Nursing Interventions/Actions/Orders and Rationale







States feelings of dizziness

States fear of falling









Extreme of age


Unsteady gait


Use of walker


History of falls


Lives alone



Risk for falls









Long Term:

1. client will not experience any falls during stay

2.Client will make necessary physical changes in environment to ensure increased safety  within first week of returning home     

1. Orient client to environment. Assess ability to use call bell, side rails, and bed controls.

1. These measures will help the client to cope with an unfamiliar environment

2. make changes in client’s environment that may cause or contribute to injury

2. to increase client’s awareness







Client did not experience falls to current





Client verbalized a plan to make changes at home to ensure safety



Decreased mobility







Short Term:

1.client will identify factors that increase potential for injury by the end of the day

2. remain free of falls per shift

1.identify factors that may cause or contribute to injury from a fall

1. Increase client awareness

2. routinely assist the client in toileting on her own schedule

2. keep path to the bathroom clear, leave the door open, falls are often linked to the need to eliminate in a hurry







Client is able to verbalize an understanding of risks factors for falls


Client did not experience any falls per shift











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*I = Implementation.  Check those interventions/actions/orders that were implemented

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