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Accident Prevention for Elderly
PREFACE
When growing
old, the physical ability of elderly people gradually wanes, making them prone
to accidents. It may result in injury, hospitalization, or even loss of self-care
ability owing to disability. This pamphlet aims at providing for the elderly
some measures in preventing home accident, first aid measures and how to call
for help.
FALL
Cause:
Environmental factors, gait instability, impaired vision, etc.
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Keep floors free
of obstructions.
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Ensure adequate lighting
in household area.
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Avoid stepping on
foldable chair.
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Keep floor dry. Constantly
check floor surface for any wear and tear.
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Avoid standing on
“step” next to windows when posting out bamboo to sun dry clothing.
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Place non-slippery
mattress on the floor of bathroom.
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Exercise regularly
to strengthen gait and power.
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Ensure length of
trousers and shirts not being too long.
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Ensure a balanced
gait during walking. Walk slowly. If necessary, use walking aids.
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Use suitable corrective
lens to ensure a good vision.
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Don’t panic. Call
for help immediately if necessary.
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Examine the patient
if the airway is clear (e.g. can talk or not); if breathing is adequate
and circulation is normal (observe colour of the face, depth and rate of
breathing).
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If breathing and
circulation are normal, check for any other injuries on the body.
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If bleeding occurs,
ensure that there is no foreign body in the wound. Apply direct pressure
to stop bleeding by covering a clean gauze on it and add pressure on the
gauze by your hand. Elevate the injured limb.
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If deformity is found
on the injured part, do not move it and call for help immediately.
Talk or laugh when
eating; size or texture of food not suitable for elderly etc.
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Before a meal, chop
food into small pieces.
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During a meal, chew
thoroughly before swallowing.
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Do not talk or laugh
during chewing or swallowing food.
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Ensure the set of
denture is in its fixed position and not loose.
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Be more cautious
when taking soft and sticky food.
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Do
not panic.
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Call for help immediately.
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Perform CPR if necessary.
ACCIDENTAL POISONING/DRUG OVERDOSE
Cause:
Inadequate knowledge
about drugs, non-compliance to prescription, taking other person’s drugs
etc.
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Never buy or use
over-the-counter drugs. Consult doctor when feeling sick.
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Never take other
person’s drugs.
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Before taking drug,
check carefully it is the right drug, taken at the right time, through the
right route and at the right dosage.
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Never place different
drugs into the same container. Empty containers should be disposed of and
not to use to store other drugs.
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Do
not panic. Call for help immediately.
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Examine the patient
if the airway is clear (e.g. can talk or not); if breathing is adequate
and circulation is normal (observe colour of the face, depth and rate of
breathing).
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Perform CPR if necessary.
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If the patient is
unconscious but the airway is clear, breathing & circulation are normal,
turn the patient to lateral position.
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If the patient is
conscious, fed with a large amount of water. But, do not induce vomiting.
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Bring along with
any vomitus and remains of drugs taken when seeking medical treatment.
Carelessness, general disregard of safety, etc.
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While
cooking, pay extra attention to the stove fire and the cooking utensil.
Turn the pan handle away from the front and close to the wall.
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When opening the
lid of a cooking utensil, take extra care to the steam.
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Be careful when handling
boiling oil, hot water or soup.
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If need to hold
hot materials, use insulated gloves.
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Ensure all food
and drink is at a reasonable temperature before eating or drinking.
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All hot objects including
an iron or containers with hot matter must not be placed near the margin
of a table or desk.
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Test the temperature
of water before bathing.
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Take extra care
when using an electric heater in winter time. Never place clothing on it
for pre-warming. Do not burn charcoal or light fire to keep warmth at home.
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Due to certain diseases,
e.g. stroke, diabetes etc., skin senses would be much reduced. Take extra
care when touching hot objects.
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Do
not panic. If necessary, call for help immediately.
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Examine the patient
if the airway is clear (e.g. can talk or not); if breathing is adequate
and circulation is normal (observe colour of the face, depth and rate of
breathing).
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If breathing and
circulation are normal, examine the burnt or scalded sites.
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Rinse the injury
site with tap water for about 10 minutes. If the patient feels chilled,
stop rinsing.
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Cover the injury
site with a sterile gauze. Dress with bandages.
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Never apply toothpaste,
soysauce or other ointments on the injured sites.
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Do not puncture
any blister.
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Do not tear off any
burned clothing that sticks on the injured site.
CALLING FOR HELP
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If necessary, call
for ambulance service at 999 or the Fire Services Communication Centre at
27353355.
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Do not panic.
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Tell the call-taker
how the injury happens and which part of the patient’s body is injured.
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Tell the call-taker
if the patient is conscious.
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Clearly tell the
call-taker the address where the accident happens, the route leading to
this address, and your contact telephone number.
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Do not hang up the
phone until the call-taker had no further question. Do not rush.
CONCLUSION
Accident
could not be completely avoided, but its occurrence could be prevented. For
the elderly, effective prevention could much reduce the occurrence of accident,
thus alleviating the adverse effect on their physiological and psychological
health, and also enhancing their self-care ability, leading to a healthy life.
Information
provided by the Fire Services Ambulance Command Training School (7/2002)
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