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Interventions to Promote Environment Safety

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Interventions to Promote Environment Safety

Introduction

Mr. Joe Smith, a 75-year-old man, recently confronted a left cerebrovascular accident

that left him with correct vision field impairments and lingering feebleness in his right arm

and leg. He uses a walker for mobility, and his medical history includes high blood pressure,

for which he takes Metoprolol, and atrial fibrillation, for which he takes Coumadin. Safety is

paramount for patients with cerebrovascular accidents like Mr. Smith since they have

physical and neurological deficits.

Measures that Promote a Safe Environment

Given Mr. Smith’s lingering feebleness in his right arm and leg and his use of a

walker for mobility, fall prevention measures should be a priority. The first critical

intervention for the patient is ensuring his surrounding areas are free from obstacles and

tripping hazards such as clutter, loose rugs, or uneven surfaces. Second, providing visual aids,

such as placing visual cues, like brightly colored signs, at eye level in various areas of the

house, will help Mr. Smith navigate his surroundings safely without further injury.

Third, since Mr. Smith takes Coumadin for atrial fibrillation, it is essential to provide

him and his caregivers with clear instructions on the proper dosage and how to implement

extra care while shaving, brushing his teeth, or anything that can lead to bleeding. Research

shows that Coumadin increases the frequency of complications, particularly bleeding, which

can be major and life-threatening in some cases, especially when taken in large doses (Ozturk

et al., 2019).

Fourth, Mr. Smith’s caregivers must assist him with daily activities, such as dressing

and bathing, to prevent further injury. Fifth, occupational and physical therapy will help Mr.

Smith enhance his functional skills by improving his balance and strength. According to Wu

et al. (2023), a patient’s balance can be significantly affected after a stroke; hence, regularly
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monitoring their changes and adjusting treatment is necessary. Therefore, Mr. Smith’s care

providers should monitor his changes regularly through wearable gadget sensors that can alert

his nurses when he is at risk of an accident.

Conclusion

Implementing the above interventions provides Mr. Smith with a safer environment

that prevents further injury and complications. This will help effectively manage his

condition while offering support for his overall well-being.

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References

Ozturk M, Ipekci A, Kiyak SK, Akdeniz YS, Aydin Y, Ikizceli I, Sogut O. Bleeding

Complications in Warfarin-Treated Patients Admitted to the Emergency Department. J

Clin Med Res. 2019 Feb;11(2):106-113. https://doi.org/10.14740%2Fjocmr3669

Wu, J.-M., Chen, H.-S., Chen, H.-H., Cheng, B.-W., Huang, C.-W., & Chung, M.-H. (2023).

Enhancing patient self-management after a first stroke: An application of the wearable

devices and the Health Management Platform. Disability and Health Journal, 16(1),

101392. https://doi.org/10.1016/j.dhjo.2022.101392