All patients are measured on a scale to determine risk of falls. So their should be some paperwork available in your facility in regards to where they fall on a fall scale. Very few people are a "0". Age, mental status, medications, sensory defects all cause someone to have no risk, low risk, or high risk. Even the low risk needs a care plan. In the case of a panic disordered patient, should they be medicated with something that makes them less that 100% alert and oriented, they should be on a posey alarm. But it also depends on your doctor's order for activity level. The last thing you want is for your patient to be zonked on Ativan, and furniture walking to the bathroom cause they forgot to use the call bell. Care plans
can be amended, and if the person becomes more "with it" as time goes on, then of course the plan changes. Just be particularly careful with those who are on sedatives, even if they are 25.