Interventions to Promote an Environment of Safety
Scenario
Mr. Joe Smith is a 75-year-old male who has suffered a left cerebrovascular accident that left him with residual weakness in his right leg and arm and right visual field deficits. The patient uses a walker for mobility. He suffers from atrial fibrillation, which he manages using Coumadin. He is a known hypertensive and takes metoprolol to manage his blood pressure.
Environmental Strategies to Reduce Risk of Injury
Mr. Joe has a residual weakness in his right leg, which alters his mobility; therefore, he is at an increased risk of falls. Mr. Joe needs assistive devices for mobility, such as walkers, canes, wheelchairs, and transfer bars (Javed & Davis, 2022). Mr. Joe’s selected assistive device is a walker. Educating Mr. Joe on the correct way to use his walker to prevent falls, conserve energy, and improve mobility is crucial. The patient’s environment must be free of blockages, such as pets, toys, and furniture that he might trip on and fall. Blockages can limit the patient’s ability to move around. The patient’s important and daily use items should be placed where the patient can easily reach them. His bed should be placed in a down position or with rails up to reduce the risk of falls. The patient’s family and friends should be educated on immobility and ensuring a safe environment that encourages mobility. The patient should be willing to follow all recommendations. Mr. Joe has right visual field deficits, which alters his perception and increases the risk of falls. The patient can use vision optical aids to improve peripheral vision (Kaur & Gurnani, 2022). He is encouraged to use sunglasses to decrease glare. The patient’s house should have adequate lighting to decrease the risk of falls. The patient’s essential items, such as the call bell and glasses, should be kept within easy reach. Mr. Joe’s family and caregiver can rearrange the household using bright contrasting colors to increase visual discrimination. Nurses should assess the patient’s environment for safety and the competence of the patient’s family and caregiver in maintaining a safe environment.
References
Javed, M. J., & Davis, D. D. (2022). Assisting Patients with Mobility. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK559100/.
Kaur, K., & Gurnani, B. (2022). Low Vision Aids. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK585124/.
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Question 
Module 03 Assignment- Interventions to Promote an Environment of Safety
Purpose of the Assignment Identify strategies to reduce the risk of injury to clients in various environments.
Interventions to Promote an Environment of Safety
Course Competencies Select appropriate nursing interventions when providing multidimensional care to clients experiencing alterations in mobility. Strategies for safe, effective multidimensional nursing practice when providing care for clients experiencing sensory and perception disorders.
Instructions: In a one-page Word document, plan interventions with a rationale that will promote an environment of safety for the client described below. Consider the client’s medical history and medications. “Mr. Joe Smith, the 75-year-old man, recently suffered a left cerebrovascular accident. He has right visual field deficits and residual weakness in his right arm and leg. He uses a walker for mobility. He takes Metoprolol for his blood pressure, and the physician started him on Coumadin because he has recently been diagnosed with atrial fibrillation. Use at least two scholarly sources to support your interventions and rationale. Be sure to cite your sources in-text and on a reference page using APA format. You can find useful reference materials for this assignment in the School of Nursing Guide (https://guides.rasmussen.edu/nursing/referenceebooks). Do you have questions about APA? Visit the online APA Guide.