TY - JOUR
PY - 2015//
TI - Risk assessment of patient falls while taking medications ordered in a teaching hospital
JO - Revista Brasileira de Enfermagem
A1 - Ferreira Neto, Carolina Justus Buhrer
A1 - Rocha, Andressa Schaia
A1 - Schmidt, Larissa
A1 - Almeida, Fernanda Pailo de
A1 - Dutra, Jhenifer Carvalho
A1 - Rocha, Maria Dagmar da
SP - 305
EP - 310
VL - 68
IS - 2
N2 - OBJECTIVE: to stratify prescribed medication in a fall risk scale, identifying subgroups of drugs and inpatient units with higher risk of falls.
METHOD: retrospective study on prescription order forms given by medical clinic, surgical clinic, and general intensive care unit. Risk factors under consideration: 1) orthostatic hypotension; 2) arterial hypotension; 3) arterial hypertension; 4) bradycardia; 5) psychomotor agitation; 6) mental confusion; 7) dizziness; 8) drowsiness/sedation; 9) reduced eyesight; 10) seizures; 11) atonia/dystonia/muscle weakness; 12) hypoglycemia; 13) urgent urination and 14) urgent defecation/diarrhea. Risk levels adopted: 0: 0 factor; I: 1-2 factors; II: 3-5 factors; III: 6-9 factors; IV: 10-14 factors.
RESULTS: 3893 drugs were analyzed and stratifi ed in levels: 0 22.7%; I 33.5%; II 28%; III 15.1%; IV 0.7%. Levels III and IV more often refer to drugs for stomach acid disorders, 22.6%, and psycholeptics, 100%.
CONCLUSION: knowing the risk factors associated with medication may help prevent and reduce falls, especially when therapeutic regimens cannot be modifi ed.
Language: pt
LA - pt SN - 0034-7167 UR - http://dx.doi.org/10.1590/0034-7167.2015680217i ID - ref1 ER -