Question

1. As the administrator, how would you address the situation?
2. Name some interventions other than restraint use that may help to decrease Mr. Valdez’s agitation.
3. Would using restraints with Mr. Valdez be appropriate?
4. In situations where restraints must be used, what is the role of each health care professional in ensuring that they are used as safely as possible?

Elective Maru X ub.com/hound-nobles/6qIWEX/effective management-of-long-term care facilities-pdf?pg370 Term Care Facilities.pdf . - B Sign You are the administrator of a 75-bed nursing home. Two CNAS approach you regarding their concerns about a resident, Mr. Valdez, who is an 86-year-old long-stay resident with Alzheimer's. Having been diagnosed and treated early in the disease process, his dementia has followed a fairly slow course, but has worsened more recently. Over the last few weeks, Mr. Valdez's behavior has become aggressive, particularly in the late afternoon and early evening. He has struck several caregivers when they attempted to serve his dinner tray. He has also started wandering into other residents' rooms, creating disturbances. Last week, he attempted to escape from the facility and was combative when brought back to his room. The associates have expressed concerns about their safety around him, and other residents have complained that Mr. Valdez is intrusive and dangerous. The two staff members have learned about restraint use for aggressive clients. They have just walked into your office, and asked you to authorize the use of restraints for Mr. Valdez so that the safety of staff and residents could be ensured.

Answer 1

1, As an administrator, must understand the culture change policy. encourage patient-centered care practice. plan should be made to identify and address the needs of people with Alzheimer's. Encourage a multidisciplinary team approach to change patient behavior without restraint.
2, Environmental and behavioral changes and management strategies can reduce the agitation for dementia patients. Use of medication to stop responsive behavior and provide a free environment climate to make the patient avoid agitation. respect patient autonomy and nonmaleficence it can avoid the restraint intervention.
3, Dealing with response behavior without restraint can be a problem-solving approach. restraint increases the risk of falls, restlessness, and frustration.
4, Physical restraint can be used when the patient moving to some location when in chronic illness it helps to avoid a person from moving around.
Mechanical restraint is a bedrail to protect a person from falling out of bed.
chemical restraint is antipsychotic medications to control the behavior.
Restraint prevents the patient from fall, protect medical device and control behavior like wandering and aggression.