How Does Restraint Affect Practice?

Now, the quality improvement department will need to determine what processes can be modified to improve outcomes. For example, if they see an increase in pressure sores and prevalence of restraints. They could use computerized charting and order entry, along with the evidence-based guidelines, to identify specific groups of patients who are vulnerable to developing pressure ulcers or closely monitoring use of restraints. With early identification, automatic orders for preventive interventions can be implemented quickly. With the assistance of the automated consults and orders, the appropriate equipment, the interdisciplinary task force, continuing education, and monitoring, the hospital system would be able to reduce unnecessary use of restraints and hospital-acquired pressure ulcer prevalence rate (Cherry & Jacob, 2010).

The structure, processes, and outcome factors of nursing care are reflected in Nursing-Sensitive Indicators (NSIs). There are several things that the nurses in the provided scenario could have done to promote quality patient care. By being aware of restraint use as an NSI the hospital staff would be more likely to increase their focus and attention to its need and any development of complications. This increased focus and attention could have led to the development of educational opportunities for the hospital staff on the identification of pressure ulcer related complications. Had the nurse and nursing

Restraints prevalence is another NIS that could assist the nurses in the above scenario to identify

A restraint is any physical or chemical measure in the healthcare setting to keep a patient from being free to move (Craven, Hirnle & Jensen, 2013). Nurses are presented with dilemmas in deciding whether to use restraints to protect the patient from falls, harming themselves or others, suppress agitation and to facilitate treatment. Improper usage and misconceptions of restraining can have negative consequences including physical and psychological issues. Physical and psychological disadvantages from restraining could include low blood pressure, decreased circulation, thrombosis, constipation, urinary incontinence, depression, fear and increased confusion (Yeh et al., 2004). Educating nurses may reduce restraint usage by increasing

The NHRA sets the regulations for the use of retraints, in addition to these stated requirements the NHRA calls for an assessment of problematic behaviors, physician concurrence prior to the institution of restraints, use of restraints as a last resort, and explaining the restraints and why it is being used on the resident. The use of restraints is regulated by the NHRA and the practice is discouraged, however a majority of nursing home residents will be subjected to the use of them.

The key aspects of this skill are consent, preparation and prevention. The nurse must obtain consent from the patient and explain the procedure. The patient must be made comfortable and placed in a suitable position

“A theory of general psychology that states the differences between expert performers and normal adults reflect a life-long period of deliberate effort to improve performance in a specific domain. (Ericsson, K. A).”

Deveau and Leitch challenge the idea of restraints being positive for a pediatric mental health setting. “Restraining children may lead to physical and mental harm for children subject to such practices” (Deveau, Leitch, 2014, p. 588). Presented earlier was the idea that restraints used on a pediatric patient should ultimately be beneficial to the patient and those within the patient’s environment. Unfortunately, that may not always be the case. Like other nursing interventions, risk factors are also associated with restraints. Deveau and Leitch’s performed a studied and gathered that within the United States of America there were 142 restraint-related deaths within a one-year time span (2014, p. 588). Blood clots, restricted breathing and blunt trauma, abrasions and bruising may also be associated with risk factors that may occur during physical interventions

After reviewing the Texas Health and Safety Code in regards to restraints in a facility, it is understood that there are many different requirements when attempting to write a policy and procedure. In the policy, the following regulations will be instated, it needs to be known that only trained professionals are allowed to lawfully apply restraints to a person. The restraints used may not hinder the person’s ability to breathe in any aspect or hinder communication. Prior to the use of restraints, first the physician must physically assess the patient before providing an order for the use and thereafter if there is the need to continue the restraints. Once a restraint is applied, a nurse, other than the nurse that applied the restraints, is

This assignment will explore a case study on an episode of care where a patient with chronic pain was hoisted. This will be written from the perspective of the author, a student nurse. The purpose of this assignment is to underline the ethical, legal and professional issues surrounding the episode of care during nursing practice and how these issues influence the role of the nurse and their professional judgement in delivering holistic, person-centred care for the patient. The author will cover the complications on delivering care when healthcare professionals should consider and respect the patient’s decisions and personal preferences whether it may benefit the patient or not. Therefore, the author will argue the principles of the

Restraints use has become a legal issue as individual rights have become paramount in society. The United States was the first country to implement federal restraint standards in 1984 (U.S. Department of Health and Human Services, 1984). The UK, on the other hand, does not accept physical restraint use at all, but it is a common practice in the US, Australia, and mainland Europe (Maccioli, Dorman, & Brown, 2003; Royal College of Nursing, 2004; Van Norman & Palmer,

Patient restraint: Improving safety, reducing use, discusses a personal story of a family who lost a loved one due to the improper use of a belt restraint. The article explains the regulations of the FDA regarding the use and the type of labeling manufactures are incorporating in the restraints to make sure people are using correctly. Patient restraint: Improving safety, reducing use also includes the evolvement in restraining patients, the dangers and past deaths, reducing the use of restraints, and barriers of using them and how to avoid putting patients into such restrictions. In addition, the author is a staff writer for the FDA expressing his research in decreasing the use of restraints.

While the use of physical restraint on elderly patients is necessary in specific situations, the practice should be very limited at all times. Although it will continue to be used worldwide, measures must be taken by all healthcare providers to gradually minimize the use of restraints in healthcare facilities, reduce the risks that are associated with the practice, offer reasonable alternatives for patient care, and ensure the safety of the patients as well as their caregivers.

In use of restraints a physical restraint can be defined as any device, material or equipment attached to or near a person's body and which cannot be controlled or easily removed by the person and which deliberately prevents or is deliberately intended to prevent a person's free body movement to a position of choice and/or a person's normal access to their body. Examples of physical restraint include vests, straps/belts, limb ties, wheelchair bars and brakes, chairs that tip backwards, tucking in sheets too tightly, and bedside rails.

Hospital bed rails are medical devices that can be used as enablers or restraints. Since some sources label hospital bed rails as such, information on hospital bed rails from these sources are included. Due to the numerous definitions and variations of hospital bed rails, this study focuses on all hospital bed rail devices as a whole based on effectiveness and perspectives. This study focuses on patient safety in skilled nursing facilities. The average age of residents range from 65 years and above; therefore this study will refer patients as this age group.