Physical Restraints


	Physical Restraints New! Brochures and posters for your use. The definition of a physical restraint is any device, material, or equipment that prevents a resident from moving about freely. According to the Code of Federal Regulations, 42 Section 483.13 (a), “the resident has the right to be free from any physical or chemical restraints imposed for the purpose of discipline or convenience, and not required to treat the resident’s medical symptoms.” Therefore, a physical restraint may only be used to treat a medical symptom after a comprehensive assessment identifies interventions that allow the resident to reach his/her highest level of functioning. Research has found that residents who are not restrained tend to be less agitated, less fatigued, and more social. They exhibit greater independence with toileting, mobility, feeding, dressing, and strength. The resident's autonomy and dignity improves without the confinement of physical restraints. The following tools were developed and modeled after the Institute for Healthcare Quality (IHI) Breakthrough Series Collaborative Framework. Nursing homes from a number of states recently participated in a National Nursing Home Improvement Collaborative for Pressure Ulcer Prevention and Treatment sponsored by CMS. Please click on to www.medqic.org to search for more information on this model. This approach proved to be very successful and since has led to other collaborative work in long-term care. An example is the pilot collaborative on restraint reduction that 15 select nursing homes in Tennessee recently participated in, the first initiative of its kind for the nursing home industry in Tennessee. This collaborative ended in January 2006. Please feel free to download the following Restraint Tools: Framework Package Change Model Senior Leader Report Measurement Strategy Data Tracking Tool Restraints Self-Assessment Tool Falls Self-Assessment Tool Behavioral Symptoms Self-Assessment Tool Restraint Knowledge and Attitude Survey Restraint Knowledge and Attitude Survey Key

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Physical Restraints

New! Brochures and posters for your use.

The definition of a physical restraint is any device, material, or equipment that prevents a resident from moving about freely. According to the Code of Federal Regulations, 42 Section 483.13 (a), “the resident has the right to be free from any physical or chemical restraints imposed for the purpose of discipline or convenience, and not required to treat the resident’s medical symptoms.” Therefore, a physical restraint may only be used to treat a medical symptom after a comprehensive assessment identifies interventions that allow the resident to reach his/her highest level of functioning.

Research has found that residents who are not restrained tend to be less agitated, less fatigued, and more social. They exhibit greater independence with toileting, mobility, feeding, dressing, and strength. The resident's autonomy and dignity improves without the confinement of physical restraints.

The following tools were developed and modeled after the Institute for Healthcare Quality (IHI) Breakthrough Series Collaborative Framework. Nursing homes from a number of states recently participated in a National Nursing Home Improvement Collaborative for Pressure Ulcer Prevention and Treatment sponsored by CMS. Please click on to www.medqic.org to search for more information on this model.

This approach proved to be very successful and since has led to other collaborative work in long-term care. An example is the pilot collaborative on restraint reduction that 15 select nursing homes in Tennessee recently participated in, the first initiative of its kind for the nursing home industry in Tennessee. This collaborative ended in January 2006. Please feel free to download the following Restraint Tools:

Framework Package
Change Model
Senior Leader Report
Measurement Strategy
Data Tracking Tool
Restraints Self-Assessment Tool
Falls Self-Assessment Tool
Behavioral Symptoms Self-Assessment Tool
Restraint Knowledge and Attitude Survey
Restraint Knowledge and Attitude Survey Key