Restraint Use 1
How often a resident in a restraint must be checked on
Every hour
What do all restraints require?
A physician's order
Movement of a limb away from the midline of the body
Abduction
Device used to secure tubing and/or support after abdominal surgery
Abdominal binder
Profession that provides therapeutic treatment of speech and swallowing disorders
Speech therapist
Drop in blood pressure when a person changes position suddenly
Orthostatic hypotension
Never perform ROM exercises on this body part
The neck
When conducting an hourly check on a restrained resident, what is one thing a CNA should check for:
Adequate circulation, comfort, skin irritation/breakdown, device security
A drug used for discipline or convenience rather than to treat medical symptoms
Chemical restraint
Movement of a limb toward the midline of the body
Adduction
Placed in a resident's hand who is at risk for developing a contracture
Palm cones
Profession dedicated to assisting residents with improving balance, coordination, strength, and mobility
Physical therapist
These devices are used on the legs to prevent blood clots and edema
TED hose/compression stockings/anti-embolus stockings
How many times per day a resident should perform ROM exercises
Twice per day
How often a resident in a restraint must be released
Every 2 hours for 10 minutes
Name a possible alternative to restraint use
Bending a body part or joint
Flexion
Device sometimes used after a surgery to keep the leg straight while the bone is healing.
Knee immobilizer
Person who orders the rehab services and develops the treatment plan
Physician
Condition caused by permanent shortening of the muscle with subsequent shortening of tendons and ligaments
Contracture
The number of repititons for each exercise
5
Name one risk associated with restraint use
Cuts, bruises, fractures, strangulation, functional decline, skin breakdown, cardiac stress, loss of appetite, dehydration, depression, increased confusion
Name one medical symptom or rationale that might be an indication for use of a restraint
Prevention of injury from fall or other accident, allowing necessary treatment to continue, protect staff and other residents from harm
Turning a joint
Rotation
Device that is used to maintain the lower extremities in an abducted position. It prevents the resident from crossing lower legs and ankles.
Abduction pillow
Profession dedicated to assisting residents with learning to compensate for disabilities and perform ADLs
Occupational therapist
Condition caused by lack of support to the bottom of the feet for prolonged periods of time
Foot drop/plantar flexion
Where to begin ROM exercises
The shoulder
Name one emotion common in individuals who are restrained
Anger, agitation, embarrassment, humiliation, mistrust
Statistically speaking, residents are how many times more likely to be injured when a restraint is in use
8 times
Straightening a body part or joint
Extension
Device used to improve physical function, slow disease progression, and diminish pain. Used to stabilize and support a body part.
Splint
The goal of rehabilitation services
Restore the resident to his/her maximum level of functioning following injury or illness
Lung condition that can be prevented by encouraging the resident to cough and deep breathe frequently
Pneumonia
Three things to check for before beginning ROM exercises with a resident
Redness, warmth, and swelling