Essay - Proper Physical Restraint Use in Nursing Facilities Abstract as the...


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Proper Physical Restraint Use in Nursing Facilities

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As the mean age of the general population increases, and as we stand 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 their own jobs as the work is both physically and emoti*****ally demanding. The patients who require care in both skilled ***** and hospital settings for gerontological and psychiatric problems are perhaps the most challenging. ***** multiple medical problems, the poly-pharmacy and increased incidence of patient agitation or wandering behavior often makes it necessary to consider the use of restraints for patient management and safety. Restraint ***** in any patient is a c*****use of signifi*****t increase in the ***** ***** iatrogenic injury, ***** can contribute to ***** in stress *****s for staff. This thesis will discuss some of the more common situations which require restra*****ts, how *****ten ********** are injured by using restraints and what the overall cost is, emotionally ***** ***** on ***** and patients alike. The records of ***** requiring restraint in two skilled nurs*****g facilities will be revie*****d and ***** rate ***** *****/***** 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 ***** ***** feelings surrounding managing patients who are in *****. In this case, two nurs*****g home ***** 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 ********** work satisfaction ***** emotional well being. At the end ***** the ***** week period, both units' records will be reviewed to assess number of ***** requiring restraint, interventions used be*****e restraint (if any) and adverse outcomes associated with restraint (if any). Data obtained from this research will shown that the unit which attempts to care for its' patients in a restr*****int free manner has a decrease in ***** number of adverse outcomes for patients related to restraint as well ***** an increase in the level ***** ***** ***** surrounding management of those patients ***** did require restraints.

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

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

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