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 st***** on the threshold of the senility of ***** 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 emoti*****ally demanding. The p*****ients who require care in both skilled nursing and hospital settings for 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 ***** use of restraints for patient man*****ment and safety. Restraint use in any patient is a cause of signifi*****t ********** in the incidence of iatrogenic injury, and can contribute to increase in stress *****s for staff. This thesis will discuss some of the more common situations which require *****, how often ********** are *****jured by using restraints and what the overall cost is, emotionally and physically on ***** and patients alike. The records of ***** requiring restraint in two skilled nursing facilities will be revie*****d and the rate of *****/***** of injury related to the administration of restraints will also ***** reviewed. As a second element, st*****ff members of the two units will be interviewed regarding stress ***** their feelings surrounding managing patients ***** are in restraints. In this case, two nursing home units will be studied. Each unit will ***** observed for two weeks and unit staff ***** receive questionnaires asking about the impact of caring for restrained patients on *****ir work satisfaction ***** emotional well being. At the end ***** the ***** week period, ***** *****' records will be ***** ***** assess number of patients requiring restraint, interventions used be*****e restraint (if any) and adverse outcomes associated with restraint (if any). Data obtained from this research ***** shown that the unit which attempts to care for its' patients in a restraint free manner has a decrease in the number ***** adverse outcomes for patients related to restraint as well ***** an increase in ***** level of ***** satisfaction surrounding management ***** those ***** who did require restraints.


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

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


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