Nurse Aide 1 : Module K

Restraint

A physical or chemical way to restrict voluntary movement or behavior

Physical Restraint

Any physical or mechanical device, material or equipment, that RESTRICTS a person's freedom of movement or normal access to one's body

Nurse Aide's Role(A,B,C=3)

Assist with positioning and comfort, Assist with toileting frequently, Bed or body alarms, Cushions next to bed

Negative Effects of Restraints(C, D, I=5)

Change in mood and agitation, Death, Depression, Discomfort, Incontinence

Nurse Aide's Role(E, F, I, L=5)

Encourage Independence with tasks, Encourage participation in activities, Follow nursing care plan and directive, Involve family, Let confused patients wander safely

Importance of Physical Restraints

Protects residents during treatment and keeps them from harming themselves and others

Nurse Aide's Role(R, S,U, W=6)

Redirect interest, Reminisce, Report complaints of pain,Signaling device, Use devises for position,support and protection, Use soothing music, Walk with resident

Seat Belt

a belt around a resident's waist to prevent falls from a wheelchair

Vest Support or Crossover Jacket

a physical restraint put on like a jacket to provide support in a wheelchair and limit mobility of upper body in bed

Wrist Restraints

a physical restraint that limits arm movement

Pelvic Support

a physical restraint used between the thighs to keep a resident's hips from slipping forward

Soft Limb Ties

a physical restraint used to keep a limb immobilized

Soft Cloth Mittens

a physical restraint using a mitt that limits mobility of hands and use of fingers, frequently used for residents who could harm themselves by pulling at tubing, removing dressings, touching incisions or scratching a wound

Restraint-free Care

an environment in which restraints are not kept or used for any reason

Chemical Restraint

any drug used to control actions of a resident for CONVENIENCE of the staff

Restraint Alternative

measures used instead of physical or chemical restraints

Negative Effects of Restraints(S ,W=4)

Sleep disorders, Stress and anxiety, Severe Injury, Weakness and muscle atrophy

Criteria for Appropriate Use of Physical Restraints(TECM)

Temporary, Evidence of less restrictive measures were ineffective, Consent by resident or legal representative, Medically justified with a medical order

Freedom of Restraints

The resident has the right to be free from any restraints imposed for purposes of discipline or convenience, and not required to treat the resident's medical symptoms

Nurse Aide's Role(O, P=3)

Offer back rubs, snacks, drinks and reading materials or read to them, Place resident near nursing station, Promote restful sleep

Negative Effects of Restraints(P,R=5)

Pneumonia, Pressure Ulcers, Poor blood circulation, Poor appetite and malnutrition, Risk of suffocation

When can a Nurse Aide Use Physical Restraints?

Doctors order or as directed by a nurse

Negative Effects of Restraints(L=4)

Loss of dignity, Loss of Independence, Loss of self-esteem, Loss of will to live