Restraints Flashcards
1
Q
Consequences of physical restraints?
A
- bruises, skin tears, etc
- pressure injuries
- respiratory complications
- incontinence
- constipation
- impaired muscle strength
- decreased cardiovascular endurance
- agitation
- depression
- risks associated with trying to escape (strangulation, falls, etc)
2
Q
When can restraints be indicated?
A
- there are no alternatives
- application is temporary
- the least restrictive restraint is used
3
Q
What do you need to do when using restraints?
A
- thorough documentation
- increased observations
- regular release of restraints
- regular review of the need for restraints
- protect the patient’s privacy and physical and psychosocial comfort
4
Q
Physical environmental alternatives to restraint
A
- falls reduction program
- low bed
- mobility aids in reach
- no slip floors and footwear
- clutter-free
- appropriate seating
- hip protectors, helmets
- reducing agitation and confusion
- familiar objects (photos, blankets, etc)
- signage to aid orientation
- safe wandering areas
- quiet areas to reduce over-stimulation
- easy access to safe, protected outdoor areas
5
Q
Emotional/social environmental alternatives to restraints
A
- familiar staff
- relaxing activities
- reality orientation
- sensory aids and appropriate stimulation
- decreased sensory overload
6
Q
Activities as alternative to restraints
A
- physio, rehabilitation, exercise
- night-time activities
- solo and small-group activities
- activity boxes
- folding laundry, gardening, easy successes
7
Q
Care approach as alternative to restraint
A
- person-centredcare
- individualised, structured routine
- communication strategies
- increased supervision
- identification of triggering events
- appropriate staffing levels
- continence and falls prevention programs
8
Q
Physiological assessment as alternative to restraint
A
- medication review
- nutrition and hydration management
- treat infections (especially UTIs)
- pain management
- elimination management (continence, constipation, etc)
9
Q
What does BPSD stand for?
A
Behavioural and Psychological Symptoms of Dementia
