types of physical restraints in hospitals

Advocacy by families of hospitalized elders can play a significant role in prevention of physical restraints with loved ones. 167-184. 2003). Restrained patients are at risk for functional decline, serious injury or death from falls or strangulation, poor circulation, heart stress, incontinence, muscle weakness, infections, skin breakdown (pressure ulcers), reduced appetite, behavioral changes, social isolation and depression among other adverse events (Evans & Cotter, 2008). These situations require immediate assessment and attention, not restraint. Physical restraint of the hospitalized elderly: Perceptions of patients and nurses, Nursing Research, 37(3), 132-137. Don’t use physical restraints with an older hospitalized patient. Prevalence and variation of physical restraint use in acute care settings in the US. Journal of Nursing Care Quality, PMID: 2500761 [Pub Med ahead of (2011). Whether in-person or online, SGIM has the mechanism for you to connect with other professionals within your field including national meetings, regional meetings, and other CME opportunities. Evans, L.E., & Cotter, C.T. of unit-based champions, advanced practice nurse experts, or leaders to help change the practice; better communication with previous care providers (including family members) about the patient’s usual routine, behavior and care; institution of systematic observation and assessment measures attuned to the population; discontinuation, if possible, of invasive treatments; increased availability of alternate safety measures on the unit; staff and provider education about restraints, and development of an organizational culture and structure to support restraint-free care (Bourbonniere, Strumpf, Evans Maislin, 2003). Research in the 1980s-2000s supported assessment and intervention, NOT the use of physical restraints, and gradually led to a revision in national guidelines and a re-interpretation of the standard of practice (Evans & Strumpf, 2011). , By continuing to use our site, you accept our use of cookies and revised privacy policy. Shaping health policy through nursing research. Grady (Eds. Click Hereto download this page in PDF format. Mion, L.C., Fogel, J., Sandhu, Palmer, R.M., Minnick, A.F., et. (2014). Second, if possible, arrange for a family member stay around the clock or at least at night for the first 1-3 nights after hospitalization to help the elder orient to where s/he is and why, and that they are safe. New York: Springer. Despite federal guidelines to the contrary, older patients—especially those with impairments in memory and cognition (whether acute from delirium or longer standing from dementia, or both) – are regularly restrained in hospitals at much higher rates than other adults.

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