Abuse
What is abuse?
purposely mistreatment that causes physical, mental, emotional, or financial pain or injury to someone
What is neglect?
failure to care properly
What is a restraint?
A physical or chemical way to restrict voluntary movement or behavior
What is a restraint alternative?
measures used in place of a restraint or that reduce the need for a restraint
What is the organization that sets rules for resident's rights?
OBRA
What is an example of abuse?
physical, emotional, mental, sexual, financial (i.e. hitting, cussing, etc.)
What is an example of neglect?
Active neglect, Passive neglect, Negligence, Malpractice (i.e. avoiding call lights, avoiding giving baths, etc.)
vest restraints, belt restraints, wrist/ankle restraints, mitt restraints, side rails
When should restraint alternatives be used?
Whenever a full restraint is not necessary
What does OBRA stand for?
Omnibus Budget Reconciliation Act
Name three signs that indicate abuse
Broken bones, Bruising, contusions, and welts, Similar injuries that occur repeatedly, Burns of unusual shape & in unusual locations, cigarette burns, Bite marks or scratches, Unexplained weight loss, Dehydration, Dry, cracked, torn, or bleeding skin, Missing hair, Broken or missing teeth, blood in underwear, Bruising, bleeding, or discharge from genital area, Depression or withdrawal, Mood swings, Fear and anxiety (especially when certain caregiver is present), Fear of being left alone, Missing doctor’s appointments, Changing doctors frequently, Wearing makeup or sunglasses to hide injuries, Family concern that abuse is occurring, Resident not taking their medications, Private conversations not allowed, or the caregiver/family member is present during all conversations
Name three signs that indicate neglect
Pressure ulcers, Weight loss, poor appetite, Dehydration, Frequent complaints of hunger or thirst, Strong smell of urine, Unclean body, Dirty, matted, or unstyled hair, Ragged or dirty fingernails, Soiled clothes or bed linens or incontinence briefs not being changed, Ripped or torn clothing, Damaged or poorly-fitting hearing aids, glasses, or dentures, Unanswered call lights
What are 3 complications with restraint use?
Bruises and cuts, Pressure ulcers, Risk of suffocation or strangulation, Entrapment, Pneumonia, Reduced blood circulation’, Stress on the heart, Blood clots, Poor appetite and malnutrition, Dehydration, Incontinence, Urinary tract infection, Constipation, Muscle atrophy and contractures, Decreased mobility, Falls, Fractures, Depression and/or withdrawal, Social isolation, Loss of self-esteem, Sleep disorders, Loss of dignity, Loss of independence, Stress and anxiety, Increased agitation, Confusion, Severe injury, Death
Name 3 restraint alternatives
Leaving call lights within reach/answering immediately, Improving lighting, Certain types of grab bars for assistance in bed, Take residents on walks, Let confused residents wander in safe areas, Provide activities for night wanderers, Use relaxation techniques (i.e. backrubs and music)
Name 3 examples of resident's rights
If physically restrained-must be checked on regularly every 15 mins, Must have call light within reach, Must check for physical/psychological status and comfort, Provide hygiene needs, food, fluids, skin care, and ROM exercises , Check for cyanosis, Measure vital signs