Physical Restraint Jeopardy

Physical Restraint Jeopardy

True or False Risk Factors Let’s Get Specific! “Tying” it all Together! Alternatives 100 pt 100 pt 100 pt 100 pt 100 pt 200 pt 200 pt 200 pt 200 pt 200 pt 300 pt 300 pt 300 pt 300 pt 300 pt 400 pt 400 pt 400 pt 400 pt 400 pt 500 pt 500 pt 500 pt 500 pt 500 pt

100 points – True or False True or False If a device restricts freedom of movement or access to one’s body, it is considered a restraint.

100 points TRUE

200 points – True or False True or False Placing a resident’s bed against the wall may be a restraint.

200 points TRUE

300 points – True or False True or False Bean bags are not considered a restraint.

300 points FALSE

400 points – True or False True or False The facility must attempt the use of restraint alternatives prior to the use of a restraint.

400 points TRUE

500 points – True or False True or False Restraints may put a resident at higher risk of injury.

500 points TRUE

100 points – Risk Factors List three conditions that would put a resident at risk for restraint use

100 points Dementia Unsteady Gait Decline in Mobility Wandering Falls Agitation

200 points – Risk Factors List three environmental factors to consider when providing care to someone at risk for restraint use

200 points • Make sure pathways are clear • Free room of clutter • Arrange room to assist the resident in being more independent and safe • Adjust bed and toilet height to appropriate levels • Provide adequate lighting • Provide overhead trapeze and non-skid surfaces as appropriate

300 points – Risk Factors Name two Care Practices that your facility can use to minimize the use of restraints for those residents at risk.

300 points • Fall Prevention Programs • Restorative Exercises • Rehabilitation programs • Distraction • Activity boxes • Television • Social events

400 points – Risk Factors Name three risks that are potential outcomes of using a physical restraint.

400 points • Increased seriousness of fall related injuries • Strangulation • Circulation impairment • Social isolation • Contractures • Death • Pressure Ulcers • Agitation • Permanent loss of mobility • Depression • Loss of independence • Increased incontinence

500 points – Risk Factors True or False Prevention is the best care you can give to a person who is at high risk for restraints.

True 500 points

100 points – Let’s Get Specific What is “any manual method, physical or mechanical device, material, or equipment attached or adjacent to the resident’s body that the individual cannot remove easily which restricts freedom of movement or normal access to one’s body” called?

100 points Physical Restraint

200 points – Let’s Get Specific Give three examples of mechanical devices that could be used as a restraint

200 points • Table • Siderails • Chairs • Walls • Sheets • Canes stuck through spokes of w/c • Trays

600 points – Let’s Get Specific Double Jeopardy Name three examples of physical restraints Double Jeopardy

600 points Double Jeopardy Lap trays / Lap buddies Lap cushions Vest restraints Hand mitts Geri chair / recliner

Is the following a Restraint or an Enabler? 400 points – Let’s Get Specific Tucking in or using velcro to hold a sheet, fabric, or clothing tight to restrict movement.

400 points Restraint

500 points – Let’s Get Specific Give an example of a double restraint.

500 points When more than one restraint is being used such as a seatbelt and then a table tray. Placing someone with a lap buddy close to a wall so the wall prevents the resident from rising or voluntarily moving.

100 points – Alternatives Name three ways to enhance sleep that may reduce the need for restraints.

100 points • Reduce noise • Establish bedtime rituals/routines • Individual toileting plan at night • Avoid waking if possible • Avoid caffeine in evening • Avoid fluids after 7pm • Room temp to comfort of resident • Lighting

200 points – Alternatives Name two ways to physically strengthen a resident to decrease/avoid falls

200 points • Restorative Aide Program • PT/OT Therapy • Walk to Dine programs • Exercise programs with restorative exercises and activities • Arrange room to encourage ambulation and movement • Balance and fall education

300 points – Alternatives Name two restraint alternatives for a resident that frequently falls out of bed.

300 points • Low bed • Mat on floor • Scoop mattress • Body pillow or item to define edge of bed • Review individualized toileting program • Assess reasons for getting up • Anticipate needs-know your residents • Night light

400 points – Alternatives Name two restraint alternatives for a resident that slides out of their chair.

400 points • Strengthening programs /posture control programs • Alternative seating, slant cushions, wedges, high back chair, solid seat, dycem (nonslip mat), pommel cushion, trunk bolsters, ½ lap tray, armed chairs • Assess chair for proper fit and size • PT/OT evaluation • Assess if trying to get up or lack of body control • Evaluate sleep/rest patterns • Keep resident in area with staff supervision • Involve in activities as desired

500 points – Alternatives Of the following restraint alternatives, which one would not be considered a restraint Half Rails Body Alarms Body pillow or wedge cushion used in bed Non skid strips on the floor

500 points Non-skid strips on the floor

100 points – “Tying” it all Together Laws require that individuals who are restrained be released every ___ hours for 15 minutes of exercise.

100 points Two

200 points – “Tying” it all Together It is estimated that approximately ____ individuals per year die from strangulation or suffocation as a result of restraint use.

200 200 points

600 points – “Tying” it all Together DoubleJeopardy The general public can view a NH’s restraint score along with their other Quality Measures at what internet site? DoubleJeopardy

600 points DoubleJeopardy Nursing Home Compare www.www.medicare.gov/NHcompare DoubleJeopardy

400 points – “Tying” it all Together Residents have the right to be free of physical restraints not required to treat a medical _________.

400 points Condition

Physical Restraint Jeopardy