Stay with patient observing sequence and timing of seizure activity 8 As

Stay with patient observing sequence and timing of

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Stay with patient, observing sequence and timing of seizure activity. 8. As patient regains consciousness reorient and reassure. Assist patient to position of comfort in bed with side rails up (one rail down for easy exit) and bed in lowest position. 9. Conduct a head-to-toe evaluation, including an inspection of oral cavity for breaks in mucous membranes from bites or broken teeth; look for bruising of skin or injury to bones and joints. 6. Safety and Mobility: A patient with impaired mobility has many kinds of safety risks. Muscle weakness, paralysis, and poor coordination or balance are major factors in falls. Immobilization predisposes patients to additional physiological and emotional hazards, which in turn further restrict mobility and independence. People who are physically challenged are at greater risk for injury when entering motor vehicles and buildings that are not handicap accessible.
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Risk for Falls is associated with altered mobility or sensory alteration (e.g., visual) risk factors. Altered mobility leads you to select such nursing interventions as range-of- motion (ROM) exercises; more frequent supervised ambulation; or teaching the proper use of safety devices such as side rails, canes, or crutches. Limited mobility decreases a patient's ability to perform hygiene self-care activities safely. Individualized care considers a patient's ability to perform care, the amount of assistance needed, and the need for assistive and safety devices to facilitate safe hygiene care.Individuals require balance for maintaining a static position (e.g., sitting) and moving (e.g., walking). Disease, injury, pain, physical development (e.g., age), and life changes (e.g., pregnancy) compromise the ability to remain balanced. Medications that cause dizziness and prolonged immobility affect balance. Impaired balance is a major threat to mobility and physical safety and contributes to a fear of falling and self- imposed activity restrictions. The skeletal system has several functions. It protects vital organs (e.g., the skull around the brain and the ribs around the heart and lungs) and aids in calcium regulation. Bones store calcium and release it into the circulation as needed. Patients who have decreased calcium regulation and metabolism and who are immobile are at risk for developing osteoporosis and pathological fractures (fractures caused by weakened bone tissue). Immobility sometimes leads to contractures. Immobility is a major factor in developing atelectasis, ventilator-associated pneumonia (VAP), and functional limitations. 7. Oxygenation Devices: Device Rate Info Low-Flow delivery devices Nasal cannula 1-6L/min; 24-44% simple, comfortable device used for precise oxygen delivery. The two nasal prongs are slightly curved and inserted in a patient's nostrils.
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