Restraints

Do physical restraints prevent residents from falling and injuring themselves?

No, there is no reduction in fall rate

Do restraints always protect the resident?

No, restraints can cause more harm than good, therefore the risks and benefits must be weighed

What are the physical risks of restraints?

Circulatory obstruction, pressure ulcers, strangulation, functional decline, reduces independence

What are the psychosocial risks of restraints?

Depression, cognitive decline, embarrassment, agitation

What are the different types of restraints?

Chemical, physical, mechanical

What is the point of a physical restraint?

To restrict the movement and freedom of a resident or access to their body

What is the point of a chemical restraint?

To manage unsettled behavior

For what purpose should a patient not be restrained?

For punishment or for the convenience of employees

When should a restraint be used?

When benefits outweigh the risks, there is an agreement with a relative AND a practitioner, or in an emergency

How should restraints be implemented?

Family is informed, written agreement, physician approved, 24hr assessment and reassessment

When restraining a patient, what should be documented?

Type of restraint, reason for restraint, alternatives considered, duration of restraint, and monitoring

What are some alternatives for restraints?

1. Orient to environment

2. Provide companionship

3. Diversionary activities

4. Provide visual/auditory stimuli

5. Promote rest and sleep

6. Promote exercise

7. Use de-escalation

8. Wrap IV lines