Essay - Proper Physical Restraint Use in Nursing Facilities Abstract as the...

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Proper Physical Restraint Use in Nursing Facilities


As the mean age of ***** general population increases, and as we st***** on the threshold of the senility of the baby boomers, geriatric health care is becoming a more significant issue. Skilled nursing care for the elderly is at a premium and specialists in the field can name ********** own jobs as the work is both physically and emotionally demanding. The patients who require care in both skilled nursing and hospital settings ***** gerontological and psychiatric problems are perhaps the most challenging. The multiple medical problems, the poly-pharmacy ***** increased incidence ***** patient agitation or wandering behavior often makes it necessary to consider ***** use of restraints for patient man*****ment and safety. Restraint ***** in any ***** is a cause of significant increase in the incidence ***** iatrogenic injury, and can contribute to ***** in stress ********** for staff. This *****sis will discuss some of the ***** common situations which require restra*****ts, how *****ten patients are injured by using restraints and what the overall cost is, emotionally and physically on staff and patients alike. The records of patients requiring restraint in two skilled nursing facilities will be revie*****d and ***** rate ***** *****/***** of injury related to the administration of restraints will also be reviewed. As a second element, ***** members of the two units will be interviewed reg*****rding stress ***** their feelings surrounding managing patients ***** are in *****. In this case, two nursing home units will ***** studied. Each unit will be observed for two weeks and unit staff ***** receive questionnaires asking about the impact of caring for restrained patients on their work satisfaction ***** emotional well being. At the end ***** the two week period, both ********** records will be reviewed ***** assess number of patients requiring restraint, interventions used before restraint (if any) and adverse outcomes associated with restraint (***** any). Data obtained from this research ***** s*****n that the unit which attempts to ***** for its' patients in a restraint free manner has a decrease in the number of adverse ***** ***** ***** related ***** restraint as well ***** an increase in ***** level ***** staff ***** surrounding management of those patients who did require restraints.


What are some of the correct ***** incorrect reasons for the use ***** restraints in the ***** *****? What ***** ***** different types of ***** that are available? Do the patients who ***** restraint sustain physical or ***** psychological damage from ***** ***** of *****s? What is the effect of restraining a patient, or caring ***** a patient in restraints on the nursing staff?

I am hopeful that the goal in any care setting is f***** the patients to be treated ***** the utmost in dignity. Patients at every level should be a*****forded every possible measure ***** control and afforded every chance to achieve a high level of wellness. The challenge in the provision of chronic medical care ***** the assisted living/skilled nursing ***** is moving away from


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