Differences in the Use of Physical Restraint for the...

Falls and physical restraint use are a common practice in the care of the elderly and many efforts have been made to decrease this practice. Falls and injuries associated with restraint usage are a major issue because of their adverse outcome on mortality and morbidity. Prevention of falls and injuries is the most common reason for mechanically or physically restraining the elderly in healthcare facilities (Arbesman Wright, 1999). Its use has, conversely, been examined both from an ethical perspective, since restraints can be observed as coercive and furthermore because of the absence of proof of their effectiveness in preventing falls, as well as the adverse effects associated with their use (Capezuti et al., 1989). The main purposes of this integrative review were to investigate differences in the use of physical restraints over time, to identify risk factors for falls among people 60 and older, to evaluate the effects of a restraint program on staff awareness, work environment and practice of physical/mechanical restraints and the quality of care. A mechanical restraint is a device used to inhibit free physical movement which includes limb restraints, mitts, wristlets, anklets, jackets and wheelchair restraints (Powell et al., 1989). Restraints refers to any device attached to or adjacent to a person’s body that cannot be controlled or simply removed by the person and intentionally restricts a person’s freedom. Restraints are most commonly used to ensure the safetyShow MoreRelatedLack of Exercise May Cause Falls in the Elderly1903 Words   |  8 PagesMay Cause Falls in the Elderly Problem Section Falls are a major source of death and injury in elderly people. For example, they cause 90% of hip fractures and the current cost of hip fractures in the US is estimated to be about 10 billion dollars (Kato, Izumi, Hiramatsu, Shogenji, 2006). Ensuring patient safety is one of the main reasons given for use of restraints. However, according to Jech (2006), the use of physical restraints is unlikely to prevent falls. Physical restraints, such as tie-downRead MoreGerontology and Gerontic Nursing Practice2318 Words   |  10 PagesNRS 353 Gerontology and Gerontic Nursing Practice Assignment 2: Assignment Questions Questions and Answers about Elderly People and Patients Submitted by: Fujimi Sakai Student No: 11413992 Lecturer’s Name: Christine Haley Due date: 25 January 2010 Date of submission: 25 January 2010 Introduction Health of older people has some issues which nurses should know. Older people tend to suffer some health problems, however, some people do not know about problems of older people and mayRead MoreRestraints Review Of Qualitative And Quantitative Studies1517 Words   |  7 PagesRestraints Review of Qualitative and Quantitative studies The purpose of this paper is to critique the research article, Mohler Meyer’s â€Å"Attitude of nurses towards the use of restraints in geriatric care: A systemic review of qualitative and quantitative study 2014. The incident I am going to discuss in this paper is of Mr. P., an 85-year-old man, admitted to this facility about 4 months ago. His history includes coronary heart disease, cataract, dementia, hypertension, macular degeneration andRead MoreDifference between Dementia, Delirium and Alzheimers1209 Words   |  5 PagesINTRODUCTION: Delirium refers to confusion or acute confusional state of mind. It can be caused by physical illness or mental illness .delirium is most common in elderly patients. Basically delirium is condition which results in confusion, also includes changes in behavior, thinking, attention and mood. Difference between delirium, dementia and Alzheimer’s disorder: People suffering from dementia are highly susceptible to delirium but dementia should not be confused with delirium. In dementia changesRead MoreOlder Clients Essay8017 Words   |  33 Pagescom/professional/geriatrics.html (The Merck Manual of Geriatrics, 2011) http://www.health.gov.au 4. . Australian Government [Department of Health Ageing],(2011) http://www.health.gov.au/ 1. Understanding the aged care environment: a) What is the difference between a hostel and a nursing home? A Hostel is for residents with low care needs and a Nursing Home offers high care for residents requiring more intensive care. b) Differentiate between nd identify the classifications of clients youRead MoreTotal Care Nursing Home s ( Tcnh ) Rehabilitation Therapy Program3864 Words   |  16 PagesDescription of Organization: Total Care Nursing Home’s (TCNH) rehabilitation therapy program is designed to produce positive outcomes in the restoration of patients’ lives by providing Physical Therapy, Occupational Therapy, and Speech Therapy. TCNH provides treatment specifically tailored to patients’ needs and capabilities. During the admission process TCNH designs a personalized treatment plan by conducting a rehabilitation therapy screening that takes into consideration each patient’s medicalRead MoreLong-Term Care and the Shortage of Nurses Essay2334 Words   |  10 Pagesreview the many aspects of long-term care problems and many challenges there are within Long-Term care. We will look at rising costs within long-Term Care, patient abuse, will look at the quality of life, shortages of nurses and demand that the elderly are putting on the medical field. The type of care that Long-Term Care had been giving to its patients and the changes within Long-Term Care. Historic Development and Current State of Health Care Delivery There have been problems within Long-TermRead MoreSocial Determinants and the Ageing Australian Population2119 Words   |  8 PagesSocial determinants refer generally to social factors, such as income inequality or social exclusion which influence health (Community Tolls Box, 2013). â€Å"The social determinants approach is underpinned by an appreciation of the broader value of health to society and the dependence of health on actions far beyond the health sector, as both problems and solutions are system-wide.† (Australian Institute of Health and Welfare (AIHW), 2010). As the Australian population is ageing, the social determinantsRead MoreFall Prevention: Are bed alarms overused?5686 Words   |  23 PagesNorth Dakota Peer review provided by: Cynthia Anderson Background and Rationale Falls among any individual can cause significant trauma, often leading to an increase in mortality. According to the Centers for Disease Control and Prevention (2012), one in every three adults over the age of 65 falls each year. Long-term care facilities account for many of these falls, with an average of 1.5 falls occurring per nursing home bed annually (Vu, Weintraub, Rubenstein, 2004). In 2001, the AmericanRead MoreQuality Management At Florence Nightingale2770 Words   |  12 Pagesproblems are categorized into groups: variations in services, overuse, underuse, misuse, and disparities. Geographical differences, unnecessary interventions, conservative treatment, failed safety, and race or socioeconomic differences are examples of complications with quality products and services (Stanhope Lancaster, 2010). Underuse of services is relatively considerable for the elderly. The Institute of Medicine reported â€Å"substantial underdiagnosis of conditions such as treatable inconti nence, curable