Physical Restraint Use On Elderly Essay

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Physical Restraint Use on Elderly in Long-Term Care Facilities
A. Introduction
a. Attention Getter:
i. “My interest is in the welfare of the community. I ease the way of the cripple. I am compassionate of the aged. My exultation is in the strength of mankind. I teach. I lead. I serve.” In 1920 the American Red Cross printed their creed in newspapers around the country.
b. Introduce Topic: In 1987 President Ronald Reagan passed the Federal Nursing Home Reform Act. This Act, also known as the Omnibus Budget Reconciliation Act (OBRA), brought reform and a set of standards of care for people living in certified nursing facilities. (Hollis) Included in these set of standards, is the “Resident’s Bill of Rights”, which states that residents of nursing facilities have “The right to be free from … any physical or chemical restraints imposed for purposes of discipline or convenience and not required to treat the resident’s medical symptoms”. (U.S. Code Title 42 Chapter 7)
i. Despite these “rights” nurses in the United States and around the world still use restraints stating the main reason is for patient safety. ii. Falls are the leading cause of emergency room visits and unintentional death in Americans 65+ years old. (Centers For Disease Control & Prevention) iii. c. Background Information: A physical restraint can be defined as “any manual method or physical/mechanical device, material, or equipment attached or adjacent to the resident’s body that the individual cannot
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