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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 pt
300 pt
400 pt
500 pt
100 pt
200 pt
300 pt
400 pt
500 pt
100 pt
200 pt
300 pt
400 pt
500 pt
100 pt
200 pt
300 pt
400 pt
500 pt
100 pt
200 pt
300 pt
400 pt
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