Saturday, December 14, 2013

Patient Falls While Ambulating Post-op, #Negligence or #Medical #Malpractice #nursecasestudy #nursefriendly

Patient Falls While Ambulating Post-op, #Negligence or #Medical #Malpractice #nursecasestudy #nursefriendly:""The patient came in for a hysterectomy had been on bedrest for two days post-operatively. The potential for complications with extended bedrest are well documented including, Deep Venous Thrombosis, Pneumonia, Pulmonary Emboli. Medical & Nursing Interventions to help minimize post-operative complications are mandatory.
"It has long been recognized that bedrest can produce deconditioning and can impair aerobic performance. (16) The results of the study by Girish et al remind us that inactivity due to obesity or other medical conditions that limit mobility can have a similar deconditioning effect and thereby can increase the risk of postoperative morbidity."(2)
Ambulation was now medically indicated and attempts were made to get the patient up and walking. 
On the first attempt, the patient complained of dizziness and nausea. This was documented, the doctor made aware, and attempts scheduled for later in the day. 
On the second attempt, the patient was questioned about the earlier dizziness and nausea. It was no longer present. The patient, assisted by staff, got up, fell and broke her ankle. 
It should be noted here that falls happen frequently in hospitals and nursing homes. They are major source of mortality and morbidity."


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