Why are physical restraints used

Abstract The use of physical restraints in the elderly is a common practice in many countries. Publication types Comparative Study Review.

Finally, the nurse is responsible for documenting any provided nursing care, including restraint use assessment, application, monitoring and evaluation, as outlined in the Documentation , Revised standard.

The patient has a history of acute mental illness, is handcuffed and accompanied by two correctional officers. Handcuffs are a restraint. In this scenario, the correctional facility makes the restraint use decision, not the nurse.

As outlined in Professional Standards, Revised , nurses are expected to understand relevant legislation and ensure their practice aligns with the legislation. The nurse needs to consider how legislation, such as the Correctional Services Transformation Act, , Patient Restraints Minimization Act, and the Mental Health Act , may apply to this situation. For legislation interpretation, the nurse can consult with her employer or a legal representative.

Should restraints interfere with the patient receiving medical treatment, the nurse, health care team, and correctional officers need to determine a care plan that considers how best to reduce restraint to allow for providing care. This includes discussing and planning alternative measures for implementation while ensuring the safety of the patient and others. Nancy also must acknowledge the ethical dilemma restraint use presents and approach the situation using an ethical framework and guiding principles, outlined in Ethics.

Nancy needs to advocate within her facility for education on how best to care for patients from correctional facilities, restraint types used and the relevant legislation governing their care. Three-year old Jody is intubated and on a ventilator following brain surgery. To prevent her pulling out the endotracheal tube, Susan, her nurse, collaborated with the physician and obtained an order for mittens.

The goal is to use the least restrictive type of restraint possible, and only as a last resort when the risk of injury to the patient or others is unacceptably high. Consider using restraint only after unsuccessful use of alternatives, and only as long as the unsafe situation occurs.

American Psychiatric Nurses Association. Original ; revised ; revised Accessed November 4, May ; Revised May ; revised April Federal Register. December 8, Accessed November 26, Joint Commission, The. Hospital Accreditation Standards. Provision of Care, Treatment and Services. Standards PC. Sentinel Event Alert. Issue 8, November 18, Preventing Restraint Deaths. Read the next article: Choosing the right restraint.

I woke up in post op. Last week after having surgery on my hand. The nurse was attempting to remove my gown. I asked whats going on. She starts yelling at me stop being combative and other words. His nurse tells my wife take 2 but they will be gone faster.

I understand the need for judicious use of restraints but when lawmakers and other ignorant people get involved w things they no nothing about it makes my blood boil. My mother in law is DEAD because of the inability of her care center to use any kind of restraint. Bedrails would have saved my mother in law A serious head injury, years of broken bones and pain and suffering.

Are we! Forget the side rails. Just reason w them. I really wish stupid people would mind their own business and stick to what they do know if anything! My 97 Year old mom is in a dementia home and she is severely hobbled.

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