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


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

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


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