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 stand on the 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 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 ***** gerontological and psychiatric problems are perhaps ***** most challenging. ***** multiple medical *****, the poly-pharmacy and increased incidence ***** patient agitation or w*****ering behavior often makes it necessary to consider ***** use of restraints for patient man*****ment and safety. Restraint ***** in any ***** is a c*****use of signifi*****t *****crease in the incidence of iatrogenic injury, ***** can contribute to increase in stress *****s for staff. This thesis will discuss some of the more common situations which require *****, how often patients are *****jured by using restraints and what the overall cost is, emotionally and physically on staff and ***** alike. The records of patients requiring restraint in two skilled ***** facilities will be revie*****d and the rate ***** injury/type of injury related ***** the administration of restraints will also ***** reviewed. As a second element, st*****ff members of the two units will be interviewed regarding stress ***** *****ir feelings surrounding managing patients ***** are in restra*****ts. 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 their work satisfaction ***** emotional well being. At the end ***** the two week period, both units' records will be ***** to assess number of patients ***** 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 ***** number ***** adverse outcomes for patients related to restraint as well as an incre*****e in the level of ***** ***** surrounding management ***** those ***** who did ***** restraints.


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

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


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