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 ***** 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 p*****ients who require care in both skilled ***** and hospital settings for gerontological and psychiatric problems are perhaps the most challenging. ***** multiple medical *****, the poly-pharmacy ***** increased incidence ***** patient agitation or wandering behavi***** often makes it necessary to consider ***** use of restraints ***** ***** management and safety. Restraint use in any patient is a cause of significant increase 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 restraints, how *****ten *****s are injured by using restraints and what the overall cost is, emotionally ***** physically on ***** and patients alike. The records of patients requiring restraint in two skilled nurs*****g facilities will be reviewed and ***** rate of injury/type 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 restra*****ts. In this case, two nursing home units will be studied. Each unit will ***** observed for two weeks and unit staff will 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, ***** *****' records will be reviewed to assess number of patients requiring restraint, interventions used before restraint (if any) and adverse outcomes associated with restraint (***** 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 ***** adverse ***** for ***** related to restraint as well ***** an increase in the level of staff ***** surrounding management of those patients who did require restraints.


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

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 afforded every possible measure ***** control and afforded every chance to achieve a high ***** of wellness. ***** challenge in the provision of chronic medical care ***** the assisted living/skilled nursing ***** is moving away from


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