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 st***** 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 ********** 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 the most challenging. The multiple medical problems, the poly-pharmacy ***** increased incidence of patient agitation or wandering behavi***** often makes it necessary to consider the use of restraints for ***** management and safety. Restraint use in any patient ***** a cause of signifi*****t ********** in the ***** ***** iatrogenic injury, ***** can contribute to increase in stress issues for staff. This ********** will discuss some of the ***** common situations which require *****, how *****ten patients are ********** by using restraints and what the overall cost is, emotionally and ***** on ***** and ***** alike. The records of patients requiring restraint in two skilled nursing facilities will be revie*****d and ***** rate of injury/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 ***** their feelings surrounding managing patients who are in *****. In this case, two nurs*****g home ***** will be studied. Each unit will be observed for two weeks and unit staff ***** receive questionnaires asking about the impact of caring for restrained patients on ********** work satisfaction and emotional well being. At the end ***** ***** ***** week period, ***** units' records will be reviewed to assess number of ***** ***** restraint, interventions used before 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 restraint free manner has a decrease in ***** number of adverse outcomes ***** ***** related to restraint as well ***** an increase in the level of staff satisfaction surrounding management of those patients ***** did ***** restraints.


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

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


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