What should be the focus of care for a patient diagnosed with chronic renal failure and high fall risk?

The primary focus of care for a patient diagnosed with chronic renal failure and at high risk for falls should be implementing safety measures. This patient population may experience various complications such as muscle weakness, orthostatic hypotension, and impaired balance due to electrolyte imbalances or complications from their renal condition. Therefore, preventing falls is crucial for maintaining their safety and overall well-being.

Implementing safety measures can include modifying the environment to reduce fall risks—such as removing tripping hazards, ensuring proper lighting, and providing assistive devices as needed. Additionally, staff education on fall prevention and employing strategies such as patient orientation and supervision can significantly reduce incident risks.

While monitoring blood pressure, assessing fluid intake, and encouraging dietary changes are all important aspects of care for a patient with chronic renal failure, these activities do not directly address the immediate safety concerns raised by the patient’s high fall risk. Thus, the emphasis on safety measures effectively prioritizes preventing injury and maintaining the patient's health in the context of both their renal issues and increased fall risk.