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 ***** threshold of the senility of the 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 ********** 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 ***** 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 patient management and safety. Restraint use in any patient ***** a cause of signifi*****t increase in the ***** ***** iatrogenic injury, ***** can contribute to increase in stress issues for staff. This thesis will discuss some of the more common situations which require restra*****ts, how often ********** are injured by using restraints and what the overall cost is, emotionally and physically on ***** and patients alike. The records of ***** requiring restraint in two skilled ***** facilities will be reviewed and the rate ***** *****/type of injury related ***** the administration of restraints will also be reviewed. As a second element, staff members of the two units will be interviewed regarding stress and their feelings surrounding managing patients ***** are in restra*****ts. In this case, two nursing home ***** 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 *****ir work satisfaction and emotional well being. At the end ***** the two week period, ***** units' records will be ***** to 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 ***** number ***** adverse outcomes for patients related ***** restraint as well as an increase in the level of ***** satisfaction surrounding management ***** those patients who did ***** restraints.


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

I am hopeful ***** the goal in any care setting is for the patients to be treated ***** the ut***** in dignity. Patients at every level should be afforded every possible measure of control and afforded ***** 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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