Restraints
Terms
undefined, object
copy deck
- When is the use restraints appropriate?
-
When pt is pulling at his/her tubes/life sustaining equip
enable greater I function
other less restrictive devices have failed - What are the 2 types of restraints?
- Physical and Chemical
- What are chemical restraints
-
Sedatives
Anti-Anxiety med - What are the physical restraints? from least to greatest restraint:
-
1 1:1, observation
2 side rails
3 wrist restraints
4 wheelchair restraints
5 lap buddy
6 vest restraint
7 4-point restraint
8 Geri chair and lap trays - Why are Geri chairs and lap trays considered restraints?
- Because they can be difficult to self-remove
- What is the procedure for applying restraints?
-
1 Must have a dr's order and it needs to be renewed every 24 hrs
2 family consent (usually signed in the admitting process)
3 restraints must be assess every 2 hrs, it must be documented
4 Least restrictive method must be used first. - What are 6 (there are 25 listed on p 178) psychosocial negative effects of restraints?
-
1 depression/withdrawal
2 lethargy
3 anxiety
4 fear/panic
5 anger/agitation
6 reduced social contact - What are 8 (there are 25 listed on p 178) physical negative effects of restraints?
-
1 loss of mobility (possible DVT)
2 Skin breakdown
3 Ms atrophy
4 incontinence
5 constipation
6 resp difficulties/pneumonia
7 cuts/bruises/abrasions
8 decreased appetite - Can death result from restraints?
- YES
-
What are some environmental adaptations so not to have to use restraints?
Name 3 type of chairs? -
deep seats
tilted
recliner -
What are some environmental adaptations so not to have to use restraints?
Name 3 type of monitoring systems? -
TV monitoring
enclosed courtyards
alarms/personal alarms -
What are some environmental adaptations so not to have to use restraints?
Name 3 type of signs? -
Directional signs
"STOP" or "KEEP OUT"
Identifying (elder's name) -
What are some environmental adaptations so not to have to use restraints?
Name 4 type of Safety adaptations? -
non-skid surfaces
low bed
mat or sleep mat on floor
1/4 -1/2 bed rails (instead of full) -
What are some environmental adaptations so not to have to use restraints?
Name 3 ways to personalize the room? -
familiar furniture
familiar objects to hold
meaningful pictures -
What are some psychosocial approaches so not to have to use restraints?
Name 3 type of behavioral strategies? -
remotivation
frequent reminders
active listening -
What are some psychosocial approaches so not to have to use restraints?
What can we decrease/increase? -
interaction
visiting
sensory stimulation
be able to (as a professional) ID the antecedent to the unwanted behavior -
What are some psychosocial approaches so not to have to use restraints?
Name 6 type of activities? -
stuctured dialy routines
SELF care
Permit or encourage wandering/pacing
Exercise
Bowling
nature walks/walking - What is the most prevalent chronic contion in elders?
- hearing loss