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 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 their own jobs as the work is both physically and emotionally 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 ***** increased incidence ***** patient agitation or wandering behavi***** often makes it necessary to consider the use of restraints ***** patient man*****ment and safety. Restraint ***** in any ***** is a c*****use of significant increase in the ***** ***** iatrogenic injury, ***** can contribute to ***** in stress issues for staff. This thesis will discuss some of the ***** common situations which require *****, how *****ten patients are injured by using restraints and what the overall cost is, ***** ***** physically on staff and ***** alike. The records of patients requiring restraint in two skilled nurs*****g facilities will be revie*****d and the rate ***** injury/type of injury related to the administration of restraints will also be reviewed. As a second element, ***** members of the two units will be interviewed regarding stress ***** *****ir feelings surrounding managing patients who are in *****. In this case, two nursing home ***** 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 their work satisfaction ***** emotional well being. At the end ***** ***** two week period, ***** units' records will be reviewed to assess number of patients ***** restraint, interventions used before restraint (if any) and adverse outcomes associated with restraint (if any). Data obtained from this research ***** s*****n that the unit which attempts to ***** for its' patients in a restr*****int free manner has a decrease in ***** number of adverse outcomes ***** ***** related ***** restraint as well as an incre*****e in the level ***** staff ***** surrounding management of those patients ***** did require restraints.


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

I am hopeful that the goal in any care setting is for the ********** to be treated ***** the utmost 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 in the assisted living/***** nursing ***** is moving away from


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