None of these. You want to limit stress.
The nurse would teach that People older than 75 years experience fewer consequences of traumatic brain injury during this educational event for the families of clients of a nursing home.
A severe blow or jolt to the head or body is the most common cause of traumatic brain damage. A gunshot or a fractured piece of the skull can also cause traumatic brain injury by passing through brain tissue.
Mild traumatic brain damage may have a temporary effect on your brain cells. A more severe traumatic brain injury may result in brain bleeding, tissue damage, bruises, and other physical harm. These wounds can cause long-term issues or even death.
The following suggestions can help older adults avoid falls in the home:
- Install railings in the bathrooms.
- In the shower or bathtub, place a nonslip mat.
- Remove any area rugs.
- Install railings on both sides of the staircase.
- Increase interior lighting, particularly near stairs.
- Keep the floors and stairwells clean.
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Answer:
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Examine the legs for color, capillary refill time, and tissue integrity when evaluating a client at risk for thrombosis.
Deep vein thrombosis is a condition when a blood clot (a thrombus) develops in a vein (DVT). This can dislodge and go into the bloodstream prior to reaching the lungs, where it can cause a pulmonary embolism (PE), a blockage in the pulmonary circulation that can be fatal.
In both primary and secondary care, nurses will be required to recognize and screen for deep vein thrombosis, therefore they must have the ability to evaluate the patient's clinical risk.
To utilize the Wells screening equipment properly, the leg must be extensively checked. Nurses ought to:
- Find any asymmetry or unilateral swelling, skin changes, wounds, oedema, erythema, or varicosities on both legs by keeping an eye out for them.
- Before palpating both legs, feel for heat with your hand over the suspected DVT location. Also feel for pain and any cracks in the skin.
- DVT symptoms can include deep venous system-specific pain.
- The difference in the calves' circumference is measured 10 cm below the tibial tuberosity.
- A DVT is the likely diagnosis if there is a discrepancy of more than 3 cm from the asymptomatic side.
- Check capillary refill time is between two and three seconds; this is a sign of peripheral perfusion by palpating the foot pulses.
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