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 ***** 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 their own jobs as the work is both physically and emoti*****ally demanding. The patients who require care in both skilled nursing and hospital settings for gerontological and psychiatric problems are perhaps ***** most challenging. ***** multiple medical problems, the poly-pharmacy and increased incidence ***** patient agitation or wandering behavi***** often makes it necessary to consider ***** use of restraints for ***** man*****ment and safety. Restraint use in any patient ***** a cause of signifi*****t ********** in the incidence ***** iatrogenic injury, and can contribute to increase in stress issues for staff. This thesis will discuss some of the ***** common situations which require *****, how often ********** are injured by using restraints and what the overall cost is, emotionally ***** physically on staff and patients alike. The records of ***** requiring restraint in two skilled ***** facilities will be reviewed and ***** 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 ***** ***** feelings surrounding managing patients who are in *****. In this case, two nursing home ***** will ***** studied. Each unit will be observed for two weeks and unit staff will receive questionnaires asking about the impact of caring for restrained patients on *****ir work satisfaction ***** emotional well being. At the end ***** ***** ***** week period, ***** units' records will be reviewed to assess number of ***** requiring restraint, interventions used be*****e 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 restr*****int free manner has a decrease in the number ***** adverse outcomes for ***** related to restraint as well ***** an increase in ***** level of staff satisfaction surrounding management ***** those patients who did require restraints.


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

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


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