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Restraints in Health Care

Restraints in Health Care. Presented by: Deshani & Mahi (Group 3). Introduction. Restrain: Definition Types of Restrains Physical Restrains Mechanical Restrains Chemical Restrains Psychological Restrains Technological Surveillance When to use Restrains

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Restraints in Health Care

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  1. Restraints in Health Care Presented by: Deshani & Mahi (Group 3)

  2. Introduction • Restrain: Definition • Types of Restrains • Physical Restrains • Mechanical Restrains • Chemical Restrains • Psychological Restrains • Technological Surveillance • When to use Restrains • Restraints as a last resort • Patient Rights Ethics- Restraints- Group 3-DGN10

  3. Restraints: Definition • Form of medical treatment • Used to limit a patient’s movement • Used as a last resort Ethics- Restraints- Group 3-DGN10

  4. Types of Restraints • Physical restraint • Mechanical restraint • Technological surveillance • Chemical restraint • Psychological restraint Ethics- Restraints- Group 3-DGN10

  5. Physical Restraint • One or more members of the staff hold the patient to restrict movement.

  6. Mechanical Restraint • Use of specialized equipment • Examples: • Special mittens in ICU • Heavy belts in chairs • Bedrails Ethics- Restraints- Group 3-DGN10

  7. Mechanical Restraint cont’d Ethics- Restraints- Group 3-DGN10

  8. Technological Surveillance • Used to alert staff • Can monitor client’s movements • Examples: • Closed circuit television (CCTV) • Pressure pads • Door alarms Ethics- Restraints- Group 3-DGN10

  9. Chemical Restraints • Use of medication as restraints Ethics- Restraints- Group 3-DGN10

  10. Psychological Restraints • By giving instructions • Take away a person’s lifestyle choices • Example: • “You are not allowed to…” Ethics- Restraints- Group 3-DGN10

  11. When to use Restraints • To restrict movement • For safety of client and others Ethics- Restraints- Group 3-DGN10

  12. Patient Rights • ONLY as a Last Resort. • Need special care • Example: hygiene • Need close monitoring Ethics- Restraints- Group 3-DGN10

  13. Ethical Dilemma of Restraints • Beneficence Vs. Autonomy Ethics- Restraints- Group 3-DGN10

  14. Ethical Dilemma cont’d Ethics- Restraints- Group 3-DGN10

  15. Case Study • 88 year old woman with Dementia • Treated in a nursing home to walk (rehabilitation) • Falls while walking and get injured Ethics- Restraints- Group 3-DGN10

  16. Case Study • Restraint: Wheel chair with a lap tray • Patient complains about the restraint • Regular re-evaluation of patient’s condition • Use of lesser restraints Ethics- Restraints- Group 3-DGN10

  17. References • Dugdale, D. C. (2012, February 26). Use of Restraints. Retrieved February 16, 2014, from MedlinePlus: http://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000450.htm • Minnesota Department of Health. (2010). Safety. Retrieved February 16, 2014, from Minnesota Health Care Facilities: http://www.health.state.mn.us/divs/fpc/safety.htm • Fasano, C. J., & Schneider, G. (2010). Physical and Chemical Restraint. Philadelphia: Elsevier. Ethics- Restraints- Group 3-DGN10

  18. Questions? Ethics- Restraints- Group 3-DGN10

  19. Thank You! Ethics- Restraints- Group 3-DGN10

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