Barriers to reducing the use of restraints in residential elder care facilities 2
There is growing research evidence of the potential risk of physical and emotional harm of restraining residents in residential elder care facilities. Despite the potential harms, restrains continue to be a common practice in facilities. Restraint is any method that limits the ability to move around freely or reach normal body parts. There are two different types of restraints. Physical restraints are when a person forced to stay in a chair or bed. This is done with special kind of restraints placed on or near the body. These restraints cannot be easily removed. Following are some of the different kind of physical restraints. Belt placed around waist and connected to bed or a chair, cloth bands placed around wrist or ankles, cloth vests or posey placed around chest, lapboard hooked to chairs that limits the ability to move and mittens placed on hands. Physical restraints are often used to prevent falls. Other type of restraint is chemical restraint, medicines are used to help a person to be calm and relax when she/he hurt herself or other. These medicines are not regular medication that maybe taken every day for medical or emotional problems. Interviews were conducted to 18 individuals who are pharmacist, staff, general practitioner. They include also the 17 family members and 12 residents associated with three elder care facilities . These three facilities are committed to reduce the use of restraints, although physical and chemical restraints are common practice in all three facilities. As a result of interviews , it comes out that barriers to reducing strain use included fear of resident to injury , staff and resource limitations, lack of education and information about alternatives to restraints, environmental constraints, policy and management issues, beliefs and expectations ( of staff, family and residents), inadequate…

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