Create an account
any manual method, physical or mechanical device, material, or equipment that immobilizes or reduces the ability of a patient to move his or her arms, legs, body, or head freely: a drug or medication when it is used as a restriction to manage the patient's behavior or restrict the patient's freedom of movement and is not a standard treatment or dosage for the patient's condition is a last resort.
safety event report
documentation that describes any injury of potential for injury sustained by a patient in a healthcare agency
Respond to present
Evaluate potential for injury
speak with family members or caregivers
Try alternative measures first
Reassess the patient to determine alternatives
Alert primary care provider if restraints are indicated.
individualize restraint use
Note important information on the chart
Time-limit the use of restraints
occurs when there is increased tissue pressure within a limited space; leads to compromises in the circulation and the function of the involved tissue
an abnormal drop in blood pressure that occurs as a person changes from a supine to a standing position
patient care ergonomics
the practice of design in equipment and work tasks to conform to the capability of the worker in relation to patient care. it provides a means for adjusting the work environment and work practices to prevent injuries before they occur and is part of best practices for providing safe patient care.
peripheral vascular disease
pathological conditions of the vascular system characterized by reduced blood flow through the peripheral blood vessels
the act of lying face downward the act of turning the hand so the palm faces downward or backward
force created by the interplay of gravity and friction on the skin and underlying tissues. Shear causes tissue layers to slide over one another and blood vessels to stretch and twist and disrupts the microcirculation of the skin and subcutaneous tissues
decrease in blood flow in the venous system related to dysfunctional valves or inactivity of the muscles of the affected extremity
effects of immobility
*decreased muscle strength, tone, size
*decreased joint mobility and flexibility
*limited endurance and activity intolerance
*lack of coordination and altered gait
decreased ventilatory effort,increased respiratory secretions, atelectasis, respiratory congestion
*increased cardiac workload, orthostatic hypotension, venous thrombosis
*impaired circulation and skin breakdown
*decreased appetite, constipation
*urinary stasis, infection
*altered sleep patterns, pain, depression, anger, anxiety
Please allow access to your computer’s microphone to use Voice Recording.
Having trouble? Click here for help.
We can’t access your microphone!
Click the icon above to update your browser permissions and try again
Reload the page to try again!Reload
Press Cmd-0 to reset your zoom
Press Ctrl-0 to reset your zoom
It looks like your browser might be zoomed in or out. Your browser needs to be zoomed to a normal size to record audio.
Please upgrade Flash or install Chrome
to use Voice Recording.
For more help, see our troubleshooting page.
Your microphone is muted
For help fixing this issue, see this FAQ.
Star this term
You can study starred terms together