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Physical Restraint Jeopardy. True or False. Risk Factors. Let’s Get Specific!. “Tying” it all Together!. Alternatives. 100 pt. 100 pt. 100 pt. 100 pt. 100 pt. 200 pt. 200 pt. 200 pt. 200 pt. 200 pt. 300 pt. 300 pt. 300 pt. 300 pt. 300 pt. 400 pt. 400 pt. 400 pt. - PowerPoint PPT Presentation

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  • Physical Restraint Jeopardy

  • 200 pt300 pt400 pt500 pt100 pt200 pt300 pt400 pt500 pt100 pt200 pt300 pt400 pt500 pt100 pt200 pt300 pt400 pt500 pt100 pt200 pt300 pt400 pt500 pt100 ptTrue or FalseRiskFactorsLets Get Specific!AlternativesTying it allTogether!

  • True or False

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

    100 points True or False

  • TRUE100 points

  • True or False

    Placing a residents bed against the wall may be a restraint.200 points True or False

  • TRUE200 points

  • True or False

    Bean bags are not considered a restraint.300 points True or False

  • FALSE300 points

  • True or False

    The facility must attempt the use of restraint alternatives prior to the use of a restraint.400 points True or False

  • TRUE400 points

  • True or False

    Restraints may put a resident at higher risk of injury.500 points True or False

  • TRUE500 points

  • List three conditions that would put a resident at risk for restraint use 100 points Risk Factors

  • DementiaUnsteady GaitDecline in MobilityWanderingFalls Agitation

    100 points

  • List three environmental factors to consider when providing care to someone at risk for restraint use200 points Risk Factors

  • Make sure pathways are clear

    Free room of clutter

    Arrange room to assist the resident in being more independent and safe

    Adjust bed and toilet height to appropriate levels

    Provide adequate lighting

    Provide overhead trapeze and non-skid surfaces as appropriate

    200 points

  • Name two Care Practices that your facility can use to minimize the use of restraints for those residents at risk.300 points Risk Factors

  • Fall Prevention Programs

    Restorative Exercises

    Rehabilitation programs

    Distraction

    Activity boxes

    Television

    Social events

    300 points

  • Name three risks that are potential outcomes of using a physical restraint.400 points Risk Factors

  • Pressure Ulcers

    Agitation

    Permanent loss of mobility

    Depression

    Loss of independence

    Increased incontinenceIncreased seriousness of fall related injuries

    Strangulation

    Circulation impairment

    Social isolation

    Contractures

    Death

    400 points

  • True or False

    Prevention is the best care you can give to a person who is at high risk for restraints.500 points Risk Factors

  • True500 points

  • What is any manual method, physical or mechanical device, material, or equipment attached or adjacent to the residents body that the individual cannot remove easily which restricts freedom of movement or normal access to ones body called?100 points Lets Get Specific

  • Physical Restraint100 points

  • Give three examples of mechanical devices that could be used as a restraint200 points Lets Get Specific

  • TableSiderailsChairsWallsSheetsCanes stuck through spokes of w/cTrays

    200 points

  • Name three examples of physical restraints600 points Lets Get Specific

  • Lap trays / Lap buddiesLap cushionsVest restraintsHand mittsGeri chair / recliner

    600 points

  • Tucking in or using velcro to hold a sheet, fabric, or clothing tight to restrict movement.Is the following a Restraint or an Enabler?

    400 points Lets Get Specific

  • Restraint400 points

  • Give an example of a double restraint.500 points Lets Get Specific

  • When more than one restraint is being used such as a seatbelt and then a table tray.Placing someone with a lap buddy close to a wall so the wall prevents the resident from rising or voluntarily moving. 500 points

  • Name three ways to enhance sleep that may reduce the need for restraints.100 points Alternatives

  • Reduce noise

    Establish bedtime rituals/routines

    Individual toileting plan at night

    Avoid waking if possible

    Avoid caffeine in evening

    Avoid fluids after 7pm

    Room temp to comfort of resident

    Lighting100 points

  • Name two ways to physically strengthen a resident to decrease/avoid falls 200 points Alternatives

  • Restorative Aide Program

    PT/OT Therapy

    Walk to Dine programs

    Exercise programs with restorative exercises and activities

    Arrange room to encourage ambulation and movement

    Balance and fall education200 points

  • Name two restraint alternatives for a resident that frequently falls out of bed.300 points Alternatives

  • Low bedMat on floorScoop mattressBody pillow or item to define edge of bedReview individualized toileting programAssess reasons for getting upAnticipate needs-know your residentsNight light

    300 points

  • Name two restraint alternatives for a resident that slides out of their chair.400 points Alternatives

  • PT/OT evaluation

    Assess if trying to get up or lack of body control

    Evaluate sleep/rest patterns

    Keep resident in area with staff supervision

    Involve in activities as desiredStrengthening programs /posture control programs

    Alternative seating, slant cushions, wedges, high back chair, solid seat, dycem (nonslip mat), pommel cushion, trunk bolsters, lap tray, armed chairs

    Assess chair for proper fit and size

    400 points

  • Of the following restraint alternatives, which one would not be considered a restraintHalf RailsBody AlarmsBody pillow or wedge cushion used in bedNon skid strips on the floor500 points Alternatives

  • Non-skid strips on the floor500 points

  • Laws require that individuals who are restrained be released every ___ hours for 15 minutes of exercise.100 points Tying it all Together

  • Two 100 points

  • It is estimated that approximately ____ individuals per year die from strangulation or suffocation as a result of restraint use. 200 points Tying it all Together

  • 200200 points

  • The general public can view a NHs restraint score along with their other Quality Measures at what internet site?

    600 points Tying it all Together

  • Nursing Home Comparewww.www.medicare.gov/NHcompare600 points

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

    400 points Tying it all Together

  • Condition400 points

  • Restraint reduction efforts must focus on the ___________ and the underlying issue that initiated the application of a physical restraint500 points Tying it all Together

  • Individual500 points

  • Jeopardy Game Template adapted from the work of Susan Collins and Eleanor Savko, District Resource Teachers for Hardin County Schools: www.hardin.k12.ky.us/res_techn/sbjarea/math/MathJeopardy.htm This material was prepared by the Kansas Foundation for Medical Care, Inc. (KFMC), the Medicare Quality Improvement Organization for Kansas, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Publication #10SOW-KS-NH_PR-11-14

    Eleanor M. Savko**

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