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How can health care facilities reduce the use of physical and chemical restraints without sacrificing the quality of care they provide? This creative, practical book presents innovative ideas for improving the quality of life of patients and residents as it details how to: create and implement a safe restraint reduction program; determine how to begin the restraint reduction process with each resident; allay the fears of staff, families, and residents about restraint removal; and develop effective alternatives to restraints. Written by nationally recognized leaders in the field, "Toward a Restraint-Free Environment" helps health-care providers transform their approach to care by laying the foundation for a successful restraint reduction program, and, more importantly, a restraint-free environment.
This book is designed to help clinicians, administrators, students, and families attain the goal of restraint-free care of the elderly. Written by leading experts in the field, the book contains specific strategies for understanding behavior, making constructive changes in the individualís environment, and managing the risk of falls and interference with necessary treatments. It is organized in outline form to highlight critical material and to be readily adaptable as a quick reference. The authors use individualized care as the bookís underlying philosophy. The goals of individualized care include promoting comfort and safety, optimizing function and independence, and achieving the greatest possible quality of life. Such care requires clinicians to make sense of behavior rather than to control responses of clients. Numerous case studies, tables, and figures illustrate this practical and information-packed manual. Lists of resources are also included.
The restraint of older people is a pressing issue for health and social care practice. This book provides health and social care professionals with an authoritative reading resource on the ethics and use of restraint. The book provides an overview of the different forms of restraint, the conditions under which they are used, and their implications for the health and wellbeing of older people. Practical approaches to minimising are then explored, underlining the importance of person-centred care. Innovative programmes and approaches to reducing the use of restraint from around the world are described and assessed, and case studies are drawn upon to highlight practice challenges and their effective resolutions. The perspectives of older people and their carers and families, as well as of professionals, commissioners and regulators of health and social care, are also taken into account. The contributors are drawn from an international range of health and social care settings, as well as from the academic world. This in-depth volume will help health and social care professionals better understand the complex issues that surround the use of restraint, support practice that puts older people at the centre of decision-making about their care, and enable services to provide safer and more appropriate care.
This manual is designed to help clinicians, administrators, and families attain the goal of restraint-free care of frail elderly persons. Practical alternatives to restraint models of support, developed by nursing home and hospital caregivers, are presented as individualized care models. The manual is organized in outline form to highlight critical material and to ensure quick access to solutions. The objectives of restraint-free care include not only comfort and safety, but the best possible quality of life. This philosophy of care requires that caregivers make sense of clients' behaviors, rather than to simply control their responses.
"This tool replaces the "Decision-making tool: responding to issues of restraint in aged care" published by the Department of health and Ageing in 2004. The tool includes posters and information sheets which can be photocopied to provide in-house staff development and an information sheet that has been designed to be photocopied and handed to relatives. The purpose of the Information sheet is to stimulate discussion between clients, relatives and friends with staff about: a restraint free envirionment, why restraint is not appropriate, restraint free options to be considered, details of community organisations and government support."--page iii.
This book provides health and social care professionals with an authoritative reading resource on the ethics and use of restraint. It provides an overview of the different forms of restraint, the conditions under which they are used, and their implications for the health and wellbeing of older people.
The rules of patient restraint and seclusion have changed. Is your staff up to speed? As of January 2007, CMS requires that your hospital comply with new Conditions of Participation for patient restraint and seclusion. The new requirements focus on patient rights and include additional staff training requirements regarding restraint and seclusion.Don t take chances with reimbursement and patient rights. Equip every member of your staff with "The CMS Restraint Training Requirements Handbook. "Sold in packs of 25, these portable handbooks are a necessary resource for easily and effectively informing your staff about the new CMS restraint and seclusion rules. This staff training tool explains the specifics of the new training requirements, including the following prescriptive requirements: Application of restraints Implementation of seclusion Monitoring of patients in restraint/seclusion Assessment of patients in restraint/seclusion Providing care for a patient in restraint or seclusion Concise and easy-to-use, the handbook also includes sample competency assessment skill sheets for staff who are involved in restraint and seclusion. "The CMS Restraint Training"" Requirements Handbook" offers a cost-effective and convenient way to ensure your staff knows how to comply with the latest rules. "
"For Our Own Safety is devoted to the subject of, and risks associated with, restraint and seclusion of children. This book is a collection of viewpoints presented at the international symposium, Examining the Safety of High-Risk Interventions for Children and Young People. It presents examination of the legal, ethical, and historical uses of physical restraints and seclusion. Also addressed in this collection are issues of safety, the psychological and emotional impacts of restraint, and guidelines for development and use, as well as clinical and organizational strategies likely to reduce use."--BOOK JACKET.
Explore the realities behind the headlines concerning children who have been isolated or physically restrained in schools, sometimes resulting in injury or even death. The editors address the legal and ethical issues underlying these practices, and, more importantly, what can be done to move schools away from potentially harmful treatment of children. This valuable resource explores the array of practices and approaches that provide effective and safe ways to prevent and reduce conflict, de-escalate conflict and aggressive behavior and train educators in crisis intervention.