Physical Restraint Jeopardy

200 pt

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500 pt

100 pt

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300 pt

400 pt

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100 pt

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500 pt

100 pt

True or False

RiskFactors

Let’s Get Specific!

Alternatives“Tying” it allTogether!

True or False

If a device restricts freedom of movement or access to one’s body, it is

considered a restraint.

100 points – True or False

TRUE

100 points

True or False

Placing a resident’s bed against the wall may be a

restraint.

200 points – True or False

TRUE

200 points

True or False

Bean bags are not considered a restraint.

300 points – True or False

FALSE

300 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

TRUE

400 points

True or False

Restraints may put a resident at higher risk of

injury.

500 points – True or False

TRUE

500 points

List three conditions that would put a resident at risk

for restraint use

100 points – Risk Factors

Dementia

Unsteady Gait

Decline in Mobility

Wandering

Falls

Agitation

100 points

List three environmental factors to consider when

providing care to someone at risk for restraint use

200 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 incontinence

• Increased 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

True

500 points

What is “any manual method, physical or mechanical device,

material, or equipment attached or adjacent to the resident’s body that the individual cannot remove easily which restricts freedom of movement or normal access to

one’s body” called?

100 points – Let’s Get Specific

Physical Restraint

100 points

Give three examples of mechanical devices

that could be used as a restraint

200 points – Let’s Get Specific

• Table• Siderails• Chairs• Walls• Sheets• Canes stuck through spokes of w/c• Trays

200 points

Name three examples of physical restraints

600 points – Let’s 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 – Let’s Get Specific

Restraint

400 points

Give an example of a double restraint.

500 points – Let’s 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• Lighting

100 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 education

200 points

Name two restraint alternatives for a resident that frequently falls out of

bed.

300 points – Alternatives

• Low bed• Mat on floor• Scoop mattress• Body pillow or item to define edge of bed• Review individualized toileting program• Assess reasons for getting up• Anticipate needs-know your residents• Night 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 desired

• Strengthening programs /posture control programs

• Alternative seating, slant cushions, wedges, high back chair, solid seat, dycem (nonslip mat), pommel cushion, trunk bolsters, ½ 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 restraint

Half RailsBody Alarms

Body pillow or wedge cushion used in bed

Non skid strips on the floor

500 points – Alternatives

Non-skid strips on the floor

500 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

200

200 points

The general public can view a NH’s restraint score

along with their other Quality Measures at what

internet site?

600 points – “Tying” it all Together

Nursing Home CompareNursing Home Compare

www.www.medicare.gov/NHcompare

600 points

Residents have the right to be free of physical

restraints not required to treat a medical _________.

400 points – “Tying” it all Together

Condition

400 points

Restraint reduction efforts must focus on the

___________ and the underlying issue that

initiated the application of a physical restraint

500 points – “Tying” it all Together

Individual

500 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