Preventing Falls in the Hospital: Care Instructions

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Overview

When you are in the hospital, your risk of falling may be higher than normal. This could be for many reasons. Your medicines may make you dizzy. Or you may be weak and confused from illness, surgery, or treatments. This could make it hard to get out of bed. And things like crutches, bandages, casts, or braces can affect how well you can walk.

If you and your family know that you have a risk of falling, you can plan ahead. Talk to doctors and nurses about helping you avoid falls. Ask your doctor if working with a physical or occupational therapist would help you prevent a fall. Don't be afraid to ask for help, even with small things. If you or a family member or friend sees something that is not safe, tell the hospital staff.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you help prevent a fall?

Things you can do

  • When you go to the hospital, bring nonskid socks, slippers, or shoes that stay on your feet. If you do not have these, ask the nurse for a pair of nonskid socks.
  • If you use a walker or cane at home, bring it with you. Or ask the hospital to provide one during your stay.
  • Ask your doctor or nurse if your treatments or medicines will increase your risk of a fall. Some hospitals will check your risk when you are admitted to the hospital.
  • Tell your doctor or nurse if medicines make you dizzy, weak, or lightheaded. If you feel this way, do not try to get up on your own. Call the nurse for help.
  • If you are on crutches or have other problems that make it hard to walk, call the nurse for help getting out of bed. Do not try to do it on your own until you feel sure you are able.
  • When you get out of bed, sit up first and count to 10 before you stand up.
  • If you wear eyeglasses, put them on before you get out of bed.
  • If you need help getting to the bathroom, call the nurse before you have an urgent need to go. If you get fluids through a vein (IV), you may need to go to the bathroom more often.
  • Be aware of medical equipment such as a blood pressure cuff, tubing, or wires. They could cause you to trip and fall. Call the nurse for help before moving around the room.

Things the hospital should do

  • Your phone, the nurse call light or button, and anything you need to help you walk should be close to you.
  • Your bed should be low enough so that you don't have problems getting out of bed. The wheels on your bed should be locked so the bed can't move.
  • Your nurse or doctor will tell you what you can safely do and how often you need to get up and move around.
  • Your room should not have any wet or slippery areas. There should be nothing in the way of going to the bathroom or hallway.
  • Your room should have good lighting. Make sure there is a night light in your bathroom.

When should you call for help?

Watch closely for changes in your health, and be sure to contact your doctor if:

  • You need more information about preventing falls while you are in the hospital.
  • You are interested in programs to increase your strength, improve your balance, and prevent falls after you leave the hospital.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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The Health Encyclopedia contains general health information. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. For recommended treatments, please consult with your health care provider.