Professional nurse (London, England)
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Patients and their relatives may feel unsupported in general wards and the community after the high level of care received in ICUs. Some general nurses may not have enough experience to deal with the high-dependency needs of patients discharged from ICUs to ward care. It is recommended that a follow-up nurse assess the needs of ICU patients and ensure provision has been made for their return to the community.
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A reduction in mobility, a poor gait, diminished mental capacity and continence problems may increase the risk of falls among older people. The consequences of falls can include physical injury such as fractures, a fear of future falls, anxiety, depression and loss of confidence. Greater disability or death may result. The use of a risk assessment tool may alert staff to the magnitude of the problem.