Final answer:
To ensure the safety and wellbeing of a new long-term care resident with a bleeding disorder, a nurse should include a plan for fall prevention and implement a passive ROM program. Providing a high-fiber diet is also important to prevent constipation and minimize straining, which could lead to bleeding.
Step-by-step explanation:
When planning the care of a new resident in a long-term care facility who has a bleeding disorder, it is important to focus on providing measures that minimize the risk of injury and manage any potential complications. One crucial aspect to include in the care plan is the implementation of a plan for fall prevention. Individuals with bleeding disorders are at a higher risk of serious complications from injuries that could lead to bleeding. Therefore, creating a safe environment to prevent falls is vital. This may include making sure that the resident’s room and common areas are free of trip hazards, providing assistive devices like handrails, and educating staff on the importance of fall prevention.
It is also necessary to consider the resident’s mobility and activity levels. While providing a private room might seem beneficial for infection control or privacy, it is not specifically related to a bleeding disorder. However, implementing a passive range-of-motion (ROM) program can help maintain joint and muscle function, preventing stiffness and contractures, which is especially important if the resident has limitations in mobility or activity due to their bleeding disorder or other comorbid conditions.
Lastly, ensuring the resident has a high-fiber diet can be an integral part of the care plan, not specifically due to the bleeding disorder, but to prevent constipation. Constipation can lead to straining, which can increase the risk of bleeding in individuals with bleeding disorders. Therefore, maintaining bowel regularity is essential.