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18 Cards in this Set

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When is the use restraints appropriate?
When pt is pulling at his/her tubes/life sustaining equip
enable greater I function
other less restrictive devices have failed
What are the 2 types of restraints?
Physical and Chemical
What are chemical restraints
Sedatives
Anti-Anxiety med
What are the physical restraints? from least to greatest restraint:
1 1:1, observation
2 side rails
3 wrist restraints
4 wheelchair restraints
5 lap buddy
6 vest restraint
7 4-point restraint
8 Geri chair and lap trays
Why are Geri chairs and lap trays considered restraints?
Because they can be difficult to self-remove
What is the procedure for applying restraints?
1 Must have a dr's order and it needs to be renewed every 24 hrs
2 family consent (usually signed in the admitting process)
3 restraints must be assess every 2 hrs, it must be documented
4 Least restrictive method must be used first.
What are 6 (there are 25 listed on p 178) psychosocial negative effects of restraints?
1 depression/withdrawal
2 lethargy
3 anxiety
4 fear/panic
5 anger/agitation
6 reduced social contact
What are 8 (there are 25 listed on p 178) physical negative effects of restraints?
1 loss of mobility (possible DVT)
2 Skin breakdown
3 Ms atrophy
4 incontinence
5 constipation
6 resp difficulties/pneumonia
7 cuts/bruises/abrasions
8 decreased appetite
Can death result from restraints?
YES
What are some environmental adaptations so not to have to use restraints?
Name 3 type of chairs?
deep seats
tilted
recliner
What are some environmental adaptations so not to have to use restraints?
Name 3 type of monitoring systems?
TV monitoring
enclosed courtyards
alarms/personal alarms
What are some environmental adaptations so not to have to use restraints?
Name 3 type of signs?
Directional signs
"STOP" or "KEEP OUT"
Identifying (elder's name)
What are some environmental adaptations so not to have to use restraints?
Name 4 type of Safety adaptations?
non-skid surfaces
low bed
mat or sleep mat on floor
1/4 -1/2 bed rails (instead of full)
What are some environmental adaptations so not to have to use restraints?
Name 3 ways to personalize the room?
familiar furniture
familiar objects to hold
meaningful pictures
What are some psychosocial approaches so not to have to use restraints?
Name 3 type of behavioral strategies?
remotivation
frequent reminders
active listening
What are some psychosocial approaches so not to have to use restraints?
What can we decrease/increase?
interaction
visiting
sensory stimulation
be able to (as a professional) ID the antecedent to the unwanted behavior
What are some psychosocial approaches so not to have to use restraints?
Name 6 type of activities?
stuctured dialy routines
SELF care
Permit or encourage wandering/pacing
Exercise
Bowling
nature walks/walking
What is the most prevalent chronic contion in elders?
hearing loss