Restraint Use and Regulations in Long-Term Care

These flashcards cover essential vocabulary and concepts regarding the use of restraints in long-term care facilities, including rights, regulations, and alternatives.

Restraint

Any method or equipment used on or near the resident’s body that the resident cannot easily remove and which restricts freedom of movement or normal access to one’s body.

OBRA

Omnibus Budget Reconciliation Act, which states residents have the right to be free from unnecessary or inappropriate restraints.

Physical Restraint

A physical way to restrict voluntary movement or behavior.

Chemical Restraint

The use of medication to control a resident’s behavior or restrict freedom of movement.

Doctor's Order

A written directive from a physician that specifies the reason for the restraint.

Last Resort

Restraints must be used only as a last resort when all other methods have failed.

Atrophy

The wasting away, decreasing in size, and weakening of muscles from lack of use.

Suffocation

The stoppage of breathing from a lack of oxygen or an excess of carbon dioxide in the body.

Pressure Ulcers

Injuries to the skin and underlying tissue resulting from prolonged pressure and typically associated with restraint use.

Care Plan

A plan that includes instructions on how to monitor and care for residents, noting any restraints if they are necessary.

Restraint Alternatives

Measures used in place of restraints that reduce the need for restraint and promote safety and independence.

Independence

The ability of a resident to perform tasks and make choices without restraint.

Document

To properly record observations and actions taken regarding restraint use.

Elimination

Assistance provided to residents for toileting needs, especially in cases of restraint.

Monitor

To observe and check on the condition of a resident, especially when restraints are in use.

Individualize

To tailor care plans and alternatives to meet the specific needs and preferences of each resident.