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 stand on ***** 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 *****ir own jobs as the work is both physically and emotionally demanding. The p*****ients who require care in both skilled nursing and hospital settings for gerontological and psychiatric problems are perhaps ***** most challenging. The multiple medical problems, the poly-pharmacy and increased incidence of patient agitation or wandering behavi***** often makes it necessary to consider ***** use of restraints for ***** management and safety. Restraint ***** in any patient ***** a c*****use of significant *****crease in the ***** of iatrogenic injury, ***** can contribute to increase in stress issues for staff. This thesis will discuss some ***** the more common situations which require restraints, how often *****s 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 ***** *****jury/type of injury related to 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 ***** are in *****. In this case, two nursing 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 two week period, both units' records will be reviewed ***** assess number of ***** ***** restraint, interventions used be*****e restraint (if any) and adverse outcomes associated with restraint (if any). Data obtained from this research will s*****n that the unit which attempts to ***** for its' patients in a restraint free manner has a decrease in the number ***** adverse ***** ***** patients related ***** restraint as well ***** an increase in ***** level of staff ***** surrounding management of those patients who did require restraints.


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

I am hopeful that ***** goal in any care setting is for the ********** to be treated ***** the utmost in dignity. Patients at every level should be af*****ded every possible measure of control and afforded every chance to achieve a high ***** 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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