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Preventing Orthostatic Hypotension
1. Position client in Fowler's position. Raise head of bed slowly, or use pillows and
backrests. Keep in position for a short while. Ask about weakness, dizziness, spots in
eyes.
2. Help client sit on edge of bed with feet dangling. Keep here for short while. Ask about
weakness, dizziness, spots in eyes.
3. May be requested (if allowed) to take BP, pulse, respirations while in lying position
before sitting up.
4. Help client stand up, stay close.
When a Client Falls, Check For:
1. Pain or Tenderness
2. Swelling or Bruising
3. Inability to move a limb or difficulty moving limb
4. Bleeding
5. Client report of having heard or felt a bone snap/pop
Cast After-Care Precautions
1. Do not let client insert anything into cast. Can open skin and infection develop. Can
lead to intense desire to scratch.
2. Elevate client's arm or leg in cast on pillow. Reduces swelling.
3. Keep plaster cast dry. Wet cast loses shape.
4. Report pain, swelling, numbness or inability to move fingers/toes, temperature
changes on skin, chills, fever, nausea, vomiting, odour, drainage under cast
immediately.
Types of Bed Rest
1. Strict Bed Rest - client must remain in bed at all times and be assisted with all ADLs
as needed. If incontinent, must use bedpan or urinal.
2. Bed Rest w Commode Privileges - some ADLs allowed, such as self-feeding, oral
hygiene, bathing, shaving, hair care. Bedside commode for elimination.
3. Bed Rest w BRP - client can use bathroom for elimination.
Caring for Client w Paralysis