Why is it important for a nurse to monitor fall risks in older adults receiving phenothiazines?

Monitoring fall risks in older adults receiving phenothiazines is crucial because these medications can significantly affect balance and coordination. Phenothiazines, which are primarily used as antipsychotics and antiemetics, have sedative properties that can lead to dizziness, drowsiness, and impaired motor control. These side effects can increase the likelihood of falls, especially in an older population that may already be more vulnerable due to natural age-related declines in physical abilities and sensory functions.

Additionally, the sedative effects of phenothiazines can reduce the patients' level of alertness, making them less aware of their surroundings and more prone to accidents. Therefore, careful monitoring by healthcare providers is necessary to implement preventive strategies, such as ensuring safe environments and encouraging mobility aids when necessary, to reduce the risk of falls in this patient demographic.