slide1 n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
THIS PowerPoint Presentation
Download Presentation
THIS

Loading in 2 Seconds...

play fullscreen
1 / 53

THIS - PowerPoint PPT Presentation


  • 85 Views
  • Uploaded on

THIS. IS. True or False. Risk Factors. Alternatives. Let’s Get Specific!. “ Tying” it all Together!. 100. 100. 100. 100. 100. 200. 200. 200. 200. 200. 300. 300. 300. 300. 300. 400. 400. 400. 400. 400. 500. 500. 500. 500. 500.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'THIS' - kirima


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide2

True or

False

Risk

Factors

Alternatives

Let’s Get

Specific!

“Tying” it all

Together!

100

100

100

100

100

200

200

200

200

200

300

300

300

300

300

400

400

400

400

400

500

500

500

500

500

slide4

TRUE

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

.

slide9

The facility must attempt and document restraint alternatives prior to use of a restraint

slide11

List three conditions

that would put an

elder at risk

for restraint use

slide12

Dementia

Unsteady Gait

Decline in Mobility

“Wanderer”

Falls

Agitation

slide13

List three environmental factors to consider when providing

care to someone at risk for restraint use

slide14

Clear Pathways

  • Clutter free rooms
  • Arrangement of rooms to assist the elder in being more independent and safe
  • Adjust bed and toilet height to appropriate levels
  • Adequate lighting
  • Overhead trapeze and non-skid surfaces as appropriate
slide15

Name two Care Practices that your facility can use to minimize the use of restraints for those residents at risk

slide16

Fall Prevention Programs

  • Restorative Exercises
  • Rehabilitation programs
  • Distractions
  • Activity boxes
  • Television
  • Social events
slide17

Name three risks that are

potential outcomes of using a

physical restraint

slide18

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
slide19

True or False

Prevention is the best care you can give to a person who is at high risk for restraints

slide21

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

slide23

Give three examples of

mechanical devices

that could be used as a restraint

slide24

Table

  • Siderails
  • Chairs
  • Walls
  • Sheets
  • Canes
  • stuck through spokes of w/c’s
  • trays
slide25

Name three examples

of physical restraints

slide26
Lap trays / Lap buddies
  • Lap cushions
  • Vest restraints
  • Hand mitts
  • Geri chair / recliner
slide27

Double Jeopardy

The general public can view our restraint score along with our other Quality Measures at what internet site?

Double Jeopardy

slide28

Double Jeopardy

Nursing Home Compare

www.www.medicare.gov/NHcomp

Double Jeopardy

slide29

Restraint or Enabler?

Tucking in or using velcro to hold a

sheet, fabric, or clothing tight to

restrict movement

slide31

Give an example of a

double restraint

slide32

When more that one restraint is being used such as a seatbelt and then a table tray is used.

Placing someone with a lap buddy close to a wall that the wall prevents the resident from rising or voluntarily moving.

slide33

Name three ways to

enhance sleep

that may reduce the need

for restraints

slide34

Reduce noise

  • Bedtime rituals
  • Individual toileting plan at night,
  • avoid waking if possible
  • Avoid caffeine in evening
  • Avoid fluids after 7pm
  • Environmental-room temp, lighting
slide36

CRA Program

Therapy

Walk to Dine programs

Exercise programs with restorative

and activities

Arrange room to encourage ambulation

and movement

Balance and fall education

slide38
Low bed

Mat on floor

Scoop mattress

Body pillow or item to define edge of bed

Review/indiv. Toileting program

Assess why getting up-investigate!

Anticipate needs-know your residents!

Night light

slide39

Of the following restraint alternatives, which one would not be considered a restraint

Half Rails

Body Alarms

Body pillow or wedge cushion used in bed

Non skid strips on the floor

slide41

Laws require that individuals who

are restrained be released

every ___ hours for 15 minutes

of exercise

slide43

It is estimated that approximately

____ individuals per year die from strangulation or suffocation from restraints

slide45

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

slide47

Restraint reduction efforts must

focus on the ___________ and the

underlying issue that initiated the

application of a physical restraint

slide49

It is estimated that approximately

____ individuals per year die from strangulation or suffocation from restraints

slide51

Currently, 34.9 million people 65 years and older in the US make

Up 13% of the population.

What do you think the percentage of this population will be in the year 2030?

slide53

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 presentation and related materials were adapted by QSource, the Medicare Quality Improvement Organization for Tennessee, under contract with the Centers for Medicare & Medicaid Services (CMS). Contents do not necessarily reflect CMS policy. 8SOW-TN-TASK1A-2007-01