Question

Basic Concept ACTIVE LEARNING TEMPLATE STUDENT NAME AtecoativE Fr Restraints CONCEPT aEVIEW MODUE OAPTERS Nursing Interventions Related Content Underlying Principles WHO? WHEN? W? HOW (E.G. DELEGATION, LEVEL ADVANCE DIRECTIVES) PREVENTION,

Answer 1

ANSWER

RELATED CONTENT

RESTRAINTS

any physical, mechanical and chemical methods that are used on the patient's body to restrict his movement in order to provide protection from harm to himself or to others.

it is a method where the movement of the patient is prohibited by various means called restraints. although the use of restraints unnecessarily has legal and ethical consideration, it only can be used when the alternatives of restraints don't work, or, the patient shows behavior which is very much disruptive in nature such as anger, frustration, confusion, etc,

WHY IT IS NECESSARY TO USE ALTERNATIVES OF RESTRAINT

1. restraint cause anxiety and anger.

2. it makes the patient weak.

3. if a patient falls with restraints can have serious effects and more injury.

4. restraint can cause depression, worthlessness, loss of dignity, etc.

Underlying principles

1. All the possible efforts are to be made to avoid the use of any kind of restraint.

2. in schools it is not advised to use any kind of restraint in the form of mechanical or chemical restraint to limit the child's behavior.

3. seclusion is only used when the behavior of the individual causes harm to himself or to the others.

4. it should be used when there is a need to save a life in an emergency condition.

5. there should have a legal order and the medical prescription before putting the client on restraining.

6. it should be removed after every 2 hours and it can be put only when it is prescribed after every 2 hours.

7. extremities should be checked frequently for circulation when restraint is dome on that area.

8. Cover bony areas before putting a restraint on them.

NURSING INTERVENTION.

NURSES CAN USE VARIOUS TOOLS TO AVOID THE USE OF RESTRAINT.

IT INCLUDES;

1. use of restraint can be avoided by offering bedpan every 2 hourly.

2. provide fluids and keep the client hydrated.

3. with the use of diversional therapy restrain can be avoided.

4. frequent change in position, helping a patient in a walk, and making him sit on the chair.

5. if the patient is visually impaired or having hearing difficulties nurses can provide glasses and hearing devices such as hearing aid.

6. keep the bell within the client's reach.

7. involve family members while delivering care.

8. if the client is harming medical equipment it is better to tell the client not to touch them, or keep those devices out of patient's reach or cover the tubings or the IV lines.

IN EVERY 15 MINUTES THE NURSES RESPONSIBILITY IS TO CHECK

1. ANY SIGNS OF INJURY.

2. MOTION OF THE BODY AND THE VENOUS CIRCULATION.

3. LEVEL OF COMFORT.

4. REMOVE RESTRAINT WHEN NOT NEEDED.

5. DOCUMENT CLIENTS CONDITION PROPERLY.