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THIS

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

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  1. THIS IS

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

  3. If a device restricts freedom of movement or access to ones body, it is considered a restraint

  4. TRUE If a device restricts freedom of movement or access to ones body, it is considered a restraint .

  5. Placing a residents bed against the wall may be a restraint

  6. TRUE

  7. Bean bags are not considered a restraint.

  8. FALSE

  9. The facility must attempt and document restraint alternatives prior to use of a restraint

  10. TRUE

  11. List three conditions that would put an elder at risk for restraint use

  12. Dementia Unsteady Gait Decline in Mobility “Wanderer” Falls Agitation

  13. List three environmental factors to consider when providing care to someone at risk for restraint use

  14. Clear Pathways • Clutter free rooms • Arrangement of rooms to assist the elder in being more independent and safe • Adjust bed and toilet height to appropriate levels • Adequate lighting • Overhead trapeze and non-skid surfaces as appropriate

  15. Name two Care Practices that your facility can use to minimize the use of restraints for those residents at risk

  16. Fall Prevention Programs • Restorative Exercises • Rehabilitation programs • Distractions • Activity boxes • Television • Social events

  17. Name three risks that are potential outcomes of using a physical restraint

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

  19. True or False Prevention is the best care you can give to a person who is at high risk for restraints

  20. True

  21. 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

  22. Physical Restraint

  23. Give three examples of mechanical devices that could be used as a restraint

  24. Table • Siderails • Chairs • Walls • Sheets • Canes • stuck through spokes of w/c’s • trays

  25. Name three examples of physical restraints

  26. Lap trays / Lap buddies • Lap cushions • Vest restraints • Hand mitts • Geri chair / recliner

  27. Double Jeopardy The general public can view our restraint score along with our other Quality Measures at what internet site? Double Jeopardy

  28. Double Jeopardy Nursing Home Compare www.www.medicare.gov/NHcomp Double Jeopardy

  29. Restraint or Enabler? Tucking in or using velcro to hold a sheet, fabric, or clothing tight to restrict movement

  30. Restraint

  31. Give an example of a double restraint

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

  33. Name three ways to enhance sleep that may reduce the need for restraints

  34. Reduce noise • Bedtime rituals • Individual toileting plan at night, • avoid waking if possible • Avoid caffeine in evening • Avoid fluids after 7pm • Environmental-room temp, lighting

  35. Name two ways to strengthen a resident to avoid falls

  36. CRA Program Therapy Walk to Dine programs Exercise programs with restorative and activities Arrange room to encourage ambulation and movement Balance and fall education

  37. Name two restraint alternatives for a resident that frequently falls out of bed

  38. Low bed Mat on floor Scoop mattress Body pillow or item to define edge of bed Review/indiv. Toileting program Assess why getting up-investigate! Anticipate needs-know your residents! Night light

  39. 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

  40. Non-skid strips on the floor

  41. Laws require that individuals who are restrained be released every ___ hours for 15 minutes of exercise

  42. Two

  43. It is estimated that approximately ____ individuals per year die from strangulation or suffocation from restraints

  44. 200

  45. Residents have the right to be free of physical restraints not required to treat the medical _________.

  46. Symptoms

  47. Restraint reduction efforts must focus on the ___________ and the underlying issue that initiated the application of a physical restraint

  48. Individual

  49. It is estimated that approximately ____ individuals per year die from strangulation or suffocation from restraints

  50. 200

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