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.
Chemical restraint is defined as the use of any type of drug to restrict an individual’s movement or freedom. Chemical restraint may be used solely for the purpose of sedating an individual. The primary types
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A patient who is violent or agitated may need restraints so that he does not harm himself or others. Restraints may also be needed if the patient tries to remove medical equipment that is helping the patient sustain life, such as IVs or breathing tubes, catheters, feeding tubes.
What are the risks of using restraints? The patient may become more angry or violent while in restraints or seclusion. The patient may struggle against physical restraints, which would cause skin wounds or block blood flow. It can also increase the patient's heart rate and breathing rate. This can be life-threatening. Chemical restraints can cause low blood pressure, heart rhythm problems, and slow or shallow breathing. Affecting how much oxygen the patient gets. Chemical restraints can also cause drooling, shuffled walk, muscle spasms and stiffness, and tremors.
When using physical restraints it can result in possible consequences; including death by strangulation, fall injuries, deconditioning, skin breakdown, incontinence, constipation and psychological effects such as agitation and emotional distress. Using chemical restraints results in agitation, functional decline, gait disturbance, increased fall risk, memory impairment, movement disorders, sedation, orthostatic/postural, withdrawal
Hospital data on the use of restraint can also be analyzed to improve patient outcomes and satisfaction. This information could be scrutinized to determine if restraints were truly warranted in that particular situation, or if another method could have or should have been utilized first. Documentation should also be examined to determine if the patient was adequately cared for during this time period. In my hospital, the patient must be released from the restraints at least every two hours, and must be toileted at that time. The nurse must also do range of motion exercises with the extremities affected by the restraints. The skin and circulation should be assessed at this time. Every hour, the nurse is required to check the pulses in the extremity affected by the restraint. The nurse’s documentation should reflect that all of these assessments were performed and the appropriate precautions were taken.
The use of less lethal weapons that are approved by TDCJ are by using restraints, protective equipment, chemical agents, and less than lethal ammunition. The restraints are defined as a measure or condition that keeps someone or something under control or within limits. Restraints in corrections system are used to escort offenders from place to place and controlling the offenders. The restraints that are approved by TDCJ are hand and leg restraint cuffs and a belt restraint. The officer puts on the hand and leg restraint cuffs which are a pair of lockable linked metal rings hooked together with a chain that is approximately four inches long for hands and twelve inches long for legs. Then belt restraint are used as a strong wrap around the offenders waist that has chains that connect the hand and leg restraint cuffs to the belt restraint. These restraints together keep the offender from having full mobility. Which according to most studies, it has helped prevent attacks on officers (Smith,R.2009). The use of protective equipment such as riot helmets, riot shields, riot batons, and stab vest. These protective equipment are mainly used when an offender or offenders are causing a violent public disturbance, or riot; it was to calm the violent offenders, yet protect the officers from being injured or killed. By having the riot helmets, shields, and batons helps
The average hospital patient – and his or her loved ones – should not have to worry about their own safety. They should, however, be aware of a few
Restraints prevalence is another NIS that could assist the nurses in the above scenario to identify
The primary method for judging the worth of a piece of literature is its organic unity or the complex way all the elements of a test contribute to a story’s meaning. The images, symbols, and metaphors in Ellison’s “Battle Royal” give this story a whole new meaning. In 1947, when this short story was published, the black community was at an all-time low. The main aspects of this piece have ambiguous meanings behind them. The grandfather’s death scene, the naked dancer, the battle royal, the narrator’s speech, and the narrator’s dream all have significant symbolism.
Hard controls includes the use of tools such as hand-cuffs, while soft controls compares to empty hand techniques, describing techniques where the officer must engage a resisting detainee. When escalating, intended submission to cuffs is a feasible way to prevent the need for empty hand submission techniques which place the officer and the detainee at physical risk. When decreasing, hard controls (i.e.: cuffs and isolation in the rear seat of a cruiser) gives officers a reasonable and achievable goal after a dispute with a detainee during which higher levels of force may have been mandatory.
As health care workers we are under a legal obligation to protect an individual from any kind of abuse, whether it is physical, financial, emotional, sexual or psychological .Legislation, policies and procedures exist to promote a safer working environment and reduce the potential for risks occurring. They are tailored for the needs of each setting, known and understood by employers and employees and reviewed on a regular basis.
There are several varieties of tortures in general. Until the twentieth century, most forms of torture that were recognized as such were purely physical in nature. The breaking of bones, manipulation or mutilation of a person's body, and the application of flames or other implements of punishment were the main forms of recognized torture.
Having poor heath care within the prison system is something that is very dangerous. It can lead to things such as accidental deaths, worsening pre-existing conditions, and conditions occurring that could have been prevented if the proper care was
If care provided to a patient is not safe, than the intervention is ineffective and therefore not helping to improve that patient’s quality of life. To help provide a safe environment, observation and communication are extremely important. Inform the patient and family of any interventions before proceeding with them to insure the patient
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.
Introduction The purpose of this report is to give managerial analysis of Best Buy. This report will include the internal/external forces, financial assessment, and key decisions for Best Buy. Best Buy was created by Richard M. Schultz after he bought is partner and renamed his business in 1983. In 1987 Best Buy had an IPO that helped it rase $8 million dollars (“Best Buy Co., Inc.”). Best Buy’s headquarters today is located in Richfield, Minnesota.
Restraints is an intervention used to confine a person to prevent injury to self or others. Different types of restraints include physical, chemical and seclusion. A physical restraint is anything that prevents the patient from being able to freely move. This can include seat belts, wrist restraints, vests, bed rails, etc. A chemical restraint is using a drug for sedation which also restricts movement or freedom. An example of a chemical restraint can be an antipsychotic. These drugs can be used to reduce anxiety, aggression, and violent behavior. Lastly, seclusion is isolating or confining the patient to a room where they cannot leave. This form of restraint is also to protect the patient from harming them self or others. The use of restraints or seclusion can be a useful intervention if all other interventions have failed. Patients should not be harmed with these restraints so it is crucial they are done properly. Patients who are put in restraints
Patients with physical or mental disabilities should be sedated in order for them to get the proper dental care that they need because they may not be able to cooperate during the procedure. As stated by Dr.Bain, D.D.S, Patients with medical conditions such as Down’s syndrome and cerebral palsy may have physical limitations that keep them from sitting comfortably in the patient chair and staying still during dental treatment. Patients with physical disabilities may have a hard time remaining calm. The physical disability of the special needs patient may cause them to fidget and move around a lot. This can make it more difficult for them to keep their head straight or their mouth open for the dentist. In addition, patients that lack good communication skills may also have a hard time cooperating with treatment because they are unable to communicate to the dental staff or their caregiver any discomfort or pain they feel during treatment. This makes it harder for the dentist to complete the treatment correctly because the patient may have a difficult time informing their needs to the dentist or the assistant. As a result, the patient will not be able to cooperate with treatment if they are experiencing pain or discomfort. If the patient can not communicate to the dental staff that something is causing them pain or discomfort the patient is not only going to be very uncomfortable, but they are also going to remember the procedure as a traumatic
Ethics have been a part of human beings for over five thousand years yet the development of specific concepts and theories were not realized until around 400 B.C.E. with the ancient Greek philosophers (Argosy University, 2015). Since this time, ethics have been thoroughly examined and developed throughout the course of history; the results of which continue to change and evolve as our understanding of ethics and cultural views evolve. Although we may not always realize it, ethics are something that we all contend with on a daily basis. Just about every choice we face is determined by one’s own personal ethical system and moral values. In order to fully understand the basic reasoning behind the daily choices one makes, it is essential to understand some of the main ethical systems and the various characteristics of each one.