Contact Information

West Wynde Health Services, Inc.
6201 Bonhomme Rd. #264 N
Houston, Texas 77036
Phone: (713) 972-1902
Fax: (713) 972-0272
Email: westwynde2@gmail.com
Get Directions here

Services We Provide

  • Skilled Nursing Services
  • Home Health Aide
  • Psychiatric Nursing Service
  • Physical and Occupational Therapy
  • Medical Social Worker
  • Speech Therapy
  • PAS/FC
  • MDCP
  • PCS
  • CLASS/DSA
  • Specialized Therapies
  • Recreational Therapy
  • Massage Therapy
  • Aquatic therapy
  • Music Therapy
  • Horseback Riding
  • Read More

Service Areas
We can generally staff a patient anywhere in Houston. We try to take cases within a 70-mile radius from our location. Our agency service portions of the following counties:

  • Brazoria
  • Montgomery
  • Chambers
  • Walker
  • Fort Bend
  • Matagorda
  • Galveston
  • Wharton
  • Harris
  • Waller
  • Liberty
  • Austin
  • Jefferson
  • San Jacinto
  • Colorado

Safe and Healthy

Promoting a Safe and Healthy Environment
Lesson Plan and Speaking Notes

Promoting a safe and healthy environment in the home care setting is of the utmost importance. The home will be evaluated for safety and sanitation when the plan of care is initiated, but the abilities of an elderly and/or ill person can change abruptly, so safety and sanitation should be evaluated with every contact.

Think about the patient's plan of care, and as you observe the patient in his/her environment, consider whether changes are needed. Look closely at how the patient maneuvers through the rooms and performs activities of daily living.

A comprehensive assessment of each room should be done on a regular basis.

A comprehensive assessment of the patient's safety awareness and abilities should be done on a regular basis. Teaching, training, and alteration in the patient's level of assistance should be changed as necessary.

The charge nurse should be notified immediately if there are any safety or sanitation concerns or changes in the patient's abilities.

Alterations may need to be made to the patient's plan of care and/or environment due to:
Confusion
Mobility impairment
Lack of dexterity
Weakness
Communication or sensory deficits
Lack of safety awareness

Areas of concern in the home environment include:
Fall risks
Other Injury risks
Fire hazards
Toxic substances and medications
Ability to call for help
Potential for intruders
Sanitation

Can you name some risk factors for falls?

Risk Factors for Falls
Medications
Visual deficits (cataracts; decreased acuity, depth perception, and contrast sensitivity)
Dizziness
Acute illness
Incontinence

Mobility problems:
Impaired balance or gait
Decreased lower extremity strength
Partial weight bearing
Environmental causes (loose rugs, cords, wet or shiny floors, too much/little lighting, clutter, foot stools, lack of hand rails or grab bars, high bed, low toilet seat, IV pole, O2 tubing, catheter)
Slowed reaction time
Impaired safety awareness

Restraint Use and Falls
Numerous studies by the Department of Health and Human Services have demonstrated that the routine use of restraints does not reduce the risk of falls or fall injuries. In fact, the use of restraints can actually contribute to fall-related injuries and deaths.

The hazards of bed rails are also now widely known:
When used as restraints they have all the dangers of any restraint.
The potential for serious injury is higher when a patient attempts to climb over or around bed rails.
There is a risk of entrapment if the patient slips between the mattress and bed rail.

What are some interventions that help prevent falls?

Fall Prevention Interventions

Patient
Educate patient in safety awareness
Provide verbal reminders to patient to call when needing assistance
Instruct patient to sit on side of bed for one minute before standing
Keep most frequently used personal items within reach
Make sure glasses are clean and fit patient, and that prescription is adequate

Clothing
Evaluate clothing for size and length, and shorten all clothing patient might trip on
Make sure patient's shoes are well fitting with non-slip soles
Gripper socks

Toileting
Toilet patient per schedule and request
Raised toilet seat
Grab bars by tubs, showers, and toilets
Rubber mats in tubs and showers

Environment
Maintain rooms and pathways free of clutter
Non-skid strips on floor
Provide adequate lighting, provide night light if needed
Light switches accessible from bed and at room entries
Chairs, nightstands, tables secure and tip-resistant
Remove cords and wires on the floor
Remove throw rugs / Secure carpet edges
Treads on stairs
Handrails in halls and on stairs
Avoid floor wax that is slippery
Clean up spills immediately
No glare on tables, floor, counters

Furniture
Provide chair with arms to assist with rising
Wedge in chair
Chair alarm
Remove wheelchair leg rests when not needed
Remove or lock empty wheelchairs
Bed in lowest position at night with side rails down
Padded floor next to bed
Bed wheels in locked position
Use half side rails to assist with transfer
Bed alarm

Ambulation, Locomotion, and Transfers
Know the patient's plan of care regarding:
Number of persons needed to assist
Weight-bearing status
Balance problems
Assistive devices needed such as cane, gait belt, walker
Distance able to walk

What are some interventions to help prevent fires?

Interventions for Fire Prevention
Fire extinguishers present, especially in kitchen
Smoke alarm in each room
Fire escape plan for each room
Unblocked exits
Chain ladder for each upstairs room
Appliances and wiring in good condition
No over-use of extension cords
Appliances used safely
Avoid use of fireplaces, space heaters, and candles
Safe use of oxygen
Keep stove area free of grease, towels, or other flammable materials
Use outlet strip with circuit breaker instead of extension cord for multiple appliances
Promote safe smoking practices

Interventions for Increasing Patient's Ability to Summon Help
Multiple phones
Cordless speaker phone
Speed-dial numbers
Large digital display on phone
Ring and voice enhancer on phone
Medical or home alert system
Intercom or baby monitor
Emergency numbers by phone
Bell
Call Light
Regular visits from family members, friends, or Meals on Wheels
Regular phone calls to patient
Make sure doors and windows can be easily opened by patient

What are some other injuries we need to prevent?

Interventions for Other Injuries
Water heater set to 120 degrees or below to prevent scalding
Burners on stove / Microwave de-activated if patient is unable to use safely
Heavy furniture and objects secured to prevent tipping
Sharp objects removed or secured if patient is unable to use safely
Locking doors that lead to hazardous areas or storage
Removing dangerous appliances such as blender
Make sure faucets can be easily turned on and off
Larger markings on faucets for Warm/Cold
Adapt appliances so they are easier to use: handles on both sides, flat bottoms
Store every day items where they are easy to see and reach
Mark items with large print if needed
Have patient demonstrate correct use of thermostat use
On/off positions of appliances marked clearly

Interventions for Poisoning/Overdose Prevention
Secure and store toxic substances in the garage, utility room, or basement
Secure toxic substances behind a locked door if needed
Place "Mr. Yuk" stickers on all hazardous items
Pillbox easy to read and use
Automatic pill reminder/dispenser
Assess patient / caregiver management of Oral Medications: Patient's ability to prepare and take all prescribed oral medications reliably and safely, including administration of the correct dosage at the appropriate times/intervals
Review medication with patient / caregiver weekly/monthly and as needed to re-assess abilities
Monitor patient / caregiver's self-administration frequently, and monitor use through re-ordering medication

Interventions to Prevent Break-ins
Have patient verbalize and demonstrate plan for dealing with unknown visitors
Chain locks on main doors
Peep-hole on main doors
Cordless phone
Emergency numbers in prominent places
Locks on windows
Deadbolts on doors that can be easily used

Sanitation Checklist
Food in refrigerator unspoiled, stored properly
Garbage disposed of properly and in a timely manner
Dwelling free of bad odors
Dwelling free of vermin
Windows and screens in good repair
Rooms are clean and uncluttered
Walls and ceilings are in good repair and free of peeling paint
No accumulation of dirty dishes or laundry
Countertops clean
Bed linens clean