A nurse is caring for a client, diagnosed with Parkinson’s disease, who scored as a high-risk fall candidate on the St. Thomas Risk Assessment Tool in Falling Elderly Inpatients. Which nursing interventions should the nurse implement? Select all that apply.

  • provide the client with a call-light device
  • keep the bed in the lowest position
  • use a beveled floor mat at bedside
  • implement a bed alarm
Numbers 2, 3, and 4 are correct.
Keeping the bed in the lowest position reduces the impact if the client falls from the bed. Special flooring provides a cushioned surface that reduces impact. A bed alarm will notify staff if the client moves from the bed. Providing a call-light device to a client with Parkinson’s is ineffective as the client’s ability to use the device is impaired because of fine motor movement limitation.