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18 Cards in this Set
- Front
- Back
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When is the use restraints appropriate?
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When pt is pulling at his/her tubes/life sustaining equip
enable greater I function other less restrictive devices have failed |
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What are the 2 types of restraints?
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Physical and Chemical
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What are chemical restraints
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Sedatives
Anti-Anxiety med |
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What are the physical restraints? from least to greatest restraint:
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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 |
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Why are Geri chairs and lap trays considered restraints?
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Because they can be difficult to self-remove
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What is the procedure for applying restraints?
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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. |
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What are 6 (there are 25 listed on p 178) psychosocial negative effects of restraints?
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1 depression/withdrawal
2 lethargy 3 anxiety 4 fear/panic 5 anger/agitation 6 reduced social contact |
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What are 8 (there are 25 listed on p 178) physical negative effects of restraints?
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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 |
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Can death result from restraints?
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YES
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What are some environmental adaptations so not to have to use restraints?
Name 3 type of chairs? |
deep seats
tilted recliner |
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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 |
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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) |
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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) |
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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 |
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What are some psychosocial approaches so not to have to use restraints?
Name 3 type of behavioral strategies? |
remotivation
frequent reminders active listening |
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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 |
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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 |
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What is the most prevalent chronic contion in elders?
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hearing loss
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