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 *****ir own jobs as the work is both physically and emoti*****ally demanding. The patients who require care in both skilled ***** and hospital settings ***** gerontological and psychiatric problems are perhaps the most challenging. ***** multiple medical *****, the poly-pharmacy and increased incidence ***** patient agitation or w*****ering behavior often makes it necessary to consider the use of restraints for ***** management and safety. Restraint use in any patient is a c*****use of signifi*****t increase in the ***** ***** iatrogenic injury, ***** can contribute to ***** in stress issues for staff. This ********** will discuss some of the ***** common situations which require *****, how often *****s are ********** by using restraints and what the overall cost is, emotionally ***** ***** on ***** and patients alike. The records of ***** requiring restraint in two skilled nursing facilities will be reviewed and ***** rate ***** *****/***** of injury related ***** the administration of restraints will also ***** reviewed. As a second element, staff members of the two units will be interviewed regarding stress ***** *****ir feelings surrounding managing patients who are in restraints. In this case, two nursing home units 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, ***** ********** records will be reviewed to assess number of ***** requiring restraint, interventions used before restraint (if any) and adverse outcomes associated with restraint (***** any). Data obtained from this research ***** shown that the unit which attempts to ***** for its' patients in a restraint free manner has a decrease in the number ***** adverse ***** for ***** related ***** restraint as well ***** an increase in ***** level of ***** ***** surrounding management of those patients who did ***** restraints.


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

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


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