NSE 12A/B Lecture Notes - Lecture 2: Muscle Atrophy, Contracture, Swaddling
27 Mar 2017
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Restraint: ph(cid:455)si(cid:272)al, (cid:272)he(cid:373)i(cid:272)al, e(cid:374)(cid:448)iro(cid:374)(cid:373)e(cid:374)tal (cid:373)ea(cid:374)s of (cid:272)o(cid:374)trolli(cid:374)g o(cid:374)e"s (cid:271)eha(cid:448)iour or a(cid:272)tio(cid:374)s. Environmental restraints: locked nursing units residents w/ dementia may wander. Used to: reduce risk of pt. injury, prevent interruption of therapy, prevent confused/combative pt. from being removed from life support equipment, reduce risk of injury to others by the pt. Alternatives to restraints: companionship/supervision, diversionary activities, appropriate stimuli, relaxation techniques, camouflage iv lines, calm/simple statements and physical cues. Pressure ulcers: entanglement, complications related to immobility. Nerve damage and circulatory impairment: humiliation, anger, fear. Explain to client & family the need for the restraint. Review manufacturer"s instructions before using a restraint. Know agency policy & procedures for appropriate use and monitoring of restraint. Md"s order for specific type of restraint, specific client behaviors for which restraint can be used, & time frame (usually 24 hours) 5 point restraint: cuffed feet, hands, and waist belt. Ambularm: worn on leg/arm that signals when leg is in dependant position.
