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    Restraints

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    Hershey Cordero Briones
    This document discusses psychiatric nursing interventions for restraints and seclusion. It defines physical, chemical, and seclusion restraints and their purposes. Physical restraints involve direct physical force or mechanical devices to restrict movement. Chemical restraints use medications not for treatment but to control behavior. Seclusion involuntarily confines a client alone in a room for safety and regaining control. The document outlines nursing concerns, such as using restraints only when necessary for safety, monitoring clients regularly, and communicating criteria for ending restraints.

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    Restraints

    Uploaded by

    Hershey Cordero Briones
    211 views12 pages
    This document discusses psychiatric nursing interventions for restraints and seclusion. It defines physical, chemical, and seclusion restraints and their purposes. Physical restraints involve direct physical force or mechanical devices to restrict movement. Chemical restraints use medications not for treatment but to control behavior. Seclusion involuntarily confines a client alone in a room for safety and regaining control. The document outlines nursing concerns, such as using restraints only when necessary for safety, monitoring clients regularly, and communicating criteria for ending restraints.

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    This document discusses psychiatric nursing interventions for restraints and seclusion. It defines physical, chemical, and seclusion restraints and their purposes. Physical restraints involve direct physical force or mechanical devices to restrict movement. Chemical restraints use medications not for treatment but to control behavior. Seclusion involuntarily confines a client alone in a room for safety and regaining control. The document outlines nursing concerns, such as using restraints only when necessary for safety, monitoring clients regularly, and communicating criteria for ending restraints.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    211 views12 pages

    Restraints

    Uploaded by

    Hershey Cordero Briones
    This document discusses psychiatric nursing interventions for restraints and seclusion. It defines physical, chemical, and seclusion restraints and their purposes. Physical restraints involve direct physical force or mechanical devices to restrict movement. Chemical restraints use medications not for treatment but to control behavior. Seclusion involuntarily confines a client alone in a room for safety and regaining control. The document outlines nursing concerns, such as using restraints only when necessary for safety, monitoring clients regularly, and communicating criteria for ending restraints.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 12

    PSYCHIATRIC NURSING INTERVENTIONS

    RESTRAINTS

    PHYSICAL RESTRAINTS
    Direct application of physical force to a person without his or her consent to restrict freedom or movement or access to ones body, material or equipment. Methods or devices attached to or adjacent to the clients body that cannot be easily removed

    PHYSICAL RESTRAINTS
    Physical force: human, mechanical or both
    Human restraint: staff members physically control the client and moved him or her to seclusion room Mechanical restraint: devices, usually ankle and wrist restraints, fastened to the bed frame to curtail the clients physical aggression such as hitting, kicking and hair pulling

    CHEMICAL RESTRAINTS
    Medications used to restrict the clients freedom or movement or for emergency control of behavior, but not a standard treatment for the patients medical or psychiatric condition

    SECLUSION
    Involuntary confinement of a person in a specially constructed room equipped with a security window or camera for direct visual monitoring Goal: Give the client the opportunity to regain physical and emotional control

    SECLUSION
    Degrees of seclusion Confinement in a room with closed but unlocked door Confinement in a locked room with a mattress but no linens with limited opportunity for communication. Safety precautions Bed bolted to the floor and mattress Any sharp objects (pens, glass, belts, matches) removed from the room

    SECLUSION
    Advantages Containment: safe from harming self and others Isolation: distance from pathologically intense relationships that are brought about by the illness Decrease stimulation or sensory input: indicated for patient with heightened sensitivity to external stimulation. Prevents property destruction Provides privacy for the client

    NURSING CONCERNS ON THE USE OF RESTRAINTS AND SECLUSION


    Used only when the client is imminently aggressive and dangerous to self and others. Use of restraints and seclusion requires a physicians order, assessment by the nurse every 2 4 hours and close supervision of the client.
    Physicians order maximum of 4 hours for adults, 2 hours for adolescents 9 17 y.o. and 1 hour for children under 9 y.o. Orders may be renewed for 24 hours before another face to face evaluation if necessary by a physician or licensed independent practitioner.

    NURSING CONCERNS ON THE USE OF RESTRAINTS AND SECLUSION


    The physician or other licensed independent practitioner evaluates the patients need for seclusion and/or restraint within 1 hour after the initiation of the intervention. Nurse assess the client for any injury and provides treatment as needed Checks the client in person at least every 10 15 minutes and may continuously monitor via video camera.

    NURSING CONCERNS ON THE USE OF RESTRAINTS AND SECLUSION


    Nurse monitors and documents the clients skin condition, blood circulation in hands and feet, and emotional wellbeing as well as the clients response to the procedure. Observe the client for side effects of medications, which may be given in large doses in emergency. Nurse implements and documents offers of food, fluids, and opportunities to use the bathroom per facility policies and procedures.

    NURSING CONCERNS ON THE USE OF RESTRAINTS AND SECLUSION


    As soon as possible, staff members must inform the client of the behavioral criteria that will be used to determine whether to decrease or end the use of restraints or seclusion.
    Ability to verbalize feelings and concerns rationally Make no verbal threats Have decreased muscle tension States ability to be in control

    NURSING CONCERNS ON THE USE OF RESTRAINTS AND SECLUSION


    If a client is in restraint for 1 to 2 hours, two staff members can free a limb at a time for movement and exercise. Nurse offer support to the family, who may be angry or embarrasses when the client is restraint or secluded. Careful and thorough explanation about the clients behavior and subsequent use of restraint or seclusion is important. For adult clients: a release of information must be secured before the discussion. For children, no consent is needed to inform the parents.

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