Promoting Safety: Alternative Approaches to Restraints

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Questions and Answers

According to the Patient Restraints Minimization Act, when should restraints be used?

Restraints should only be used as a last resort when a person is at risk of harm to themselves or others.

Which of the following is NOT considered a restraint?

  • A device that helps a person walk independently (correct)
  • A locked room preventing a person from leaving
  • Wrist ties that limit a person's ability to move
  • A medication used to manage a person's behavior

Restraints can sometimes make a person feel more restless and agitated.

True (A)

Which of the following is NOT a potential risk factor for being restrained?

<p>The ability to communicate clearly (A)</p> Signup and view all the answers

What should a person at risk for restraint discuss with their health care team?

<p>They should discuss alternative options to try before resorting to restraints.</p> Signup and view all the answers

The healthcare team caring for a person in a restraint should only watch the person closely to ensure their safety.

<p>False (B)</p> Signup and view all the answers

Who can answer questions about preventing or avoiding the use of restraints?

<p>Any member of the healthcare team, such as a nurse or doctor.</p> Signup and view all the answers

Flashcards

Patient Restraints Minimization Act

Ontario law encouraging healthcare settings to minimize restraints, using them only as a last resort to prevent harm.

Restraint Definition

Anything restricting a person's movement, e.g., mitts, wrist ties, locked rooms, or medications.

Alternative Approaches (Restraints)

Methods used instead of restraints, engaging patients in activities they enjoy, creating a safe environment, establishing routines, and having support.

Risk factors for restraints

Conditions leading to potential harm to self or others, including brain injury/illness, confusion, wandering, fear of treatment.

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Restraint Consent

Patient's, family's or substitute's agreement; written order from the doctor for the use of restraints.

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Side Effects of Restraints

Possible negative effects, including restlessness, injury risk from falls, skin breakdown, and serious injury/death.

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Least Restrictive Restraint

Using the mildest restraint method safe for the situation, such as a belt rather than a locked room.

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Restraint Duration

Restraints should be used for the shortest time possible and removed as soon as safe.

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Patient Involvement in Restraint Decision

Patient, family, and healthcare team must discuss restraint alternatives before using restraints.

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Patient Care with Restraints

Health care team responsibility to ensure the patient's safety, identify when it's time to remove restraints, and assist patient with routine tasks.

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Health Care Team Support

Members of the healthcare team can answer questions or concerns about minimizing restraint usage.

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Important Decisions

Patients and their families should be part of making decisions consistent with their values, involving healthcare team help and support

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Brain Injury

An injury to the brain, whether physical or otherwise, that can affect decision-making and behavior.

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Confusion

Difficulty in thinking clearly, which can cause disorientation and potentially unsafe behavior.

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Study Notes

Promoting Safety: Alternative Approaches to Restraints

  • Ontario's Patient Restraints Minimization Act mandates healthcare settings prioritize alternative approaches to restraints, only using them as a last resort when a person is at risk of harming themselves or others.
  • Restraints restrict a person's movement in some way, either by placing an object limiting movement, keeping them in a confined area, or using medication.
  • Strategies to avoid restraints include encouraging enjoyable activities, assisting with mobility (e.g., walking, bathroom trips), creating a safe environment (lowering beds, good lighting).
  • Developing routines and having consistent interactions with friends/family can reduce restlessness.
  • Factors that may predispose a person to needing restraint include illnesses, injuries, confusion, fear or habits of wandering or falling.
  • Restraints should only be used for the shortest necessary time, and the least restrictive option should be chosen.
  • A written order from a physician is required, and the patient/family must be involved in the decision-making process.
  • Healthcare teams should closely monitor those under restraint.
  • Early removal of restraints is crucial and should be attempted as soon as it is safe.
  • Healthcare teams are responsible for assisting activities of daily living.
  • Family members and the patient should consult the health care team with any questions about restraints.

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