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Types of Restraints

Bedrails
Bedrails

2 side rails isn't a restraint, pt can still sit up and get out of bed easily. 4 siderails is, if the pt tries to get out of bed over the siderails, they could fall and injure themselves. there was one place i remembered where if the pt's wanted all 4 up, they had to ask for it, and ask for it each night, it wouldn't be done until they asked.

source: allnurses.com
image: pxdirect.com
Belts
Belts

it's a personal safety restraint device, just like seat belts, seat belt restraint systems, safety straps, and other safety devices used to secure or provide a safety mechanism for soldiers operating or riding in a vehicle.

Bruises
Bruises

Physical restraints are any type of physical or mechanical device or method that is used on a patient’s body and restricts his or her movement. Physical restraint devices include arm restraints, leg restraints, ties and vests, lap trays and cushions, hand mitts, and bed rails.

Decreased Cardiovascular Endurance
Decreased Cardiovascular Endurance

Endurance exercise is one of the four types of exercise along with strength, balance and flexibility. Ideally, all four types of exercise would be included in a healthy workout routine and AHA provides easy-to-follow guidelines for endurance and strength-training in its Recommendations for Physical Activity in Adults.

source: heart.org
Decubitus Ulcers
Decubitus Ulcers

Pressure ulcers, also known as pressure sores, pressure injuries, bedsores, and decubitus ulcers, are localized damage to the skin and/or underlying tissue that usually occur over a bony prominence as a result of pressure or pressure in combination with shear and/or friction.

Hand Mitts
Hand Mitts

©2016 Medline Industries, Inc. All rights reserved. Advancing the Health of Healthcare is a trademark and Medline is a registered trademark of Medline Industries, Inc.

source: medline.com
Impaired Muscle Strength and Balance
Impaired Muscle Strength and Balance

Impaired balance or unsteadiness is a frequent complaint among older individuals and represents an important cause of falling. Balance problems contribute to the risk of falling either directly or indirectly (i.e., many individuals with unsteady balance tend to restrict their activities, which can lead to muscle weakness and, in turn, increased fall risk).

source: posey.com
Increased Dependence in Activities of Daily Living
Increased Dependence in Activities of Daily Living

Roper-Logan-Tierney Model of Living The Roper-Logan-Tierney Model for Nursing is a theory of nursing care based on activities of daily living, which are often abbreviated ADLs or ALs. The model is widespread in the United Kingdom, especially in the public sector.

Lap Cushions
Lap Cushions

Physical restraints aim to restrict or prevent movement of a resident. In a nursing home, physical restraint may be used to maintain resident and staff safety in certain circumstances. However, use of physical restraint has become an issue of ethical care in nursing homes, as restraint use may become too frequent. In some cases, the nature of physical restraint use may be dangerous or harmful ...

Lap Trays or Tables
Lap Trays or Tables

SkiL-Care Removable Wheelchair Lap Trays- HCFA guidelines mention removable lap trays as restraint alternatives. Trays serve as foundations on which residents can lean for support, they provide activity and feeding surfaces, and they act as reminders not to leave the wheelchair.

source: medline.com
Respiratory Complications
Respiratory Complications

Risks and Side Effects of Restraint Use ... • Decreased risk of respiratory and urinary infections • Improved functional capacity, decreased dependence

source: uwosh.edu
Soft Ties
Soft Ties

Limb restraints are physical restraints that are applied to a person's arms or legs. The application of limb restraints on both arms and legs at once is sometimes known as a four-point restraint. As a medical restraint, limb restraints are soft, padded cuffs which are applied to a patient to prevent the patient from causing harm to him/herself or to others.

Specialized Chairs
Specialized Chairs

Reasons to Use Seating Restraints. Keeping a seated patient from slumping or falling over. Securing a patient to a chair or wheelchair as to prevent injury. Adding security for the patient being wheeled in a wheelchair. For better positioning for those patients who cannot properly shift their weight and seating position.

image: flickr.com
Undernutrition
Undernutrition

This report card primarily uses the term undernutrition, defined as the outcome of insufficient food intake and repeated infectious diseases.Undernutrition includes being underweight for one’s age, too short for one’s age (stunted), dangerously thin (wasted), and deficient in vitamins and minerals (micronutrient malnutrition).

source: unicef.org
Urinary Incontinence and Constipation
Urinary Incontinence and Constipation

Urinary Incontinence Urinary incontinence (UI) is the accidental release of urine, which can affect both men and women. Symptoms of UI may differ from person to person and the treatment options range from medications to surgery.

source: sharecare.com
Vests
Vests

A Posey vest is a type of medical restraint used to restrain a patient to a bed or chair. Its name comes from the J.T. Posey Company, its inventor, though the term "Posey" is used generically to describe all such devices.