Restraints and alternatives
A drug used to manage a patient's behavior, restrict the patient's freedom of movement, or impair the patient's ability to appropriately interact with their surroundings that is not standard treatment or dosage for the patient's condition.
What is a chemical restraint.
Coexisting health conditions that may slow the progression of healing.
What are comorbidities.
Lower body weakness, difficulties with walking and balance, environmental hazards, such as throw rugs or clutter that can cause tripping.
Small movements such as those by the wrists and hands.
What are fine motor skills.
loss of memory, language, problem-solving, and other thinking abilities that are severe enough to interfere with daily life.
What is dementia.
The confinement of a patient in a locked room from which they cannot exit on their own.
What is seclusion.
Post-operative rehabilitation, such for hip replacement, that occurs outside of the hospital.
What is out-patient therapy.
Reporting any weakness, confusion or change in condition, using proper transfer techniques, keep residents as strong and mobile as possible.
What are guidelines to prevent falls.
A medical diagnosis that refers to inflammation of joints due to wear and tear throughout one's life.
What is osteoarthritis.
Memory loss that disrupts daily life, challenges in planning or solving problems, difficulty with completing familiar tasks.
What are symptoms of early dementia.
A large, soft glove that covers a confused patient's hand to prevent them from inadvertently dislodging medication such as a catheter, feeding tube, or IV.
Considered a restraint if pinned to the bed.
What are hand mitts.
Assisting with active or passive range of motion exercises and applying splints or positioning devices, as prescribed.
What are preventative measures to decrease muscle atrophy or contractures.
Age, fall history, bowel and urine elimination, medications, patient care equipment, mobility, cognition,
categories to score when completing the fall risk assessment tool.
Strong bands of dense, regular connective tissue that connect muscles to bones. Contractures cause stiffness and shortening, leading to the loss of motion of joints that may be permanent.
What are tendons.
Supporting the reality the person with dementia is experiencing and do not attempt to reorient them.
What is validation therapy.
Placing a motion alarm in the doorway or near the foot of the bed or use a pressure or tab alarm in the wheelchair.
What are restraint alternatives for a patient that continues to self-transfer.
Movement applied to an individual's joint by another person.
What is passive range of motion.
Assesses, plans, implements, and evaluates interventions to help residents achieve their highest possible level of independence in completing ADLs such as bathing, grooming, eating, and dressing. They teach clients how to use adaptive devices.
What are occupational therapists.
Decreased production of dopamine that causes slowed movement, impaired coordination and balance, tremors, and speech difficulties.
What is Parkinson's Disease.
Increased need for assistance in washing, dressing, eating, and toileting, increased aggressive behavior, inappropriate laughing, seizures, needing modified diets such as thickened fluids and a soft or pureed diet.
What are symptoms of advanced dementia.
Apply a wander Guard to the wheelchair or the wrist, and offer activities such as board games, movies, etc.
What are restraint alternatives for a resident who wants or wants to leave the facility.
Movement of a joint by the individual (resident) with no outside force aiding in the movement.
What is active range of motion.
What is physical therapist.
What is sundowning.
The simple act of a person walking around with no purpose due to confusion regarding their location or enviroment.
What is wandering. One intervention could be a wanderguard, a bracelet that has a tracking device.