| Papers [1-15] of 84 :: [Page 1 of 6] | | Go to page : 1 2 3 4 5 6 —> | Search results on "PATIENT RESTRAINTS": |
|
|
Patient Restraints, 2002.
A research proposal to evaluate the the actual and appropriate use of restraints in health care.
10,547 words (approx. 42.2 pages), 44 sources, MLA, $ 210.95
»
Click here to show/hide summary
Abstract
This paper proposes a study to examine and assess the issues and problems associated with the implementation by acute care hospitals of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards for the use of patient restraints and to develop recommendations for appropriate strategies to be implemented by acute care hospitals in such implementation. The organizational setting for the proposed study is the Wellmont Health System which provides integrated health care through three acute care medical centers and hospitals located in Northeast Tennessee and Southwest Virginia.
Outline
Introductory Statement
Statement of the Problem
Research Questions
Purpose of the Study
Background on the Participating Institution
Overview of the Study
Review of Literature
Introduction
Theoretical Context
Resistance to Organizational Change
Techniques for Controlling the Change Process
Change Based in Strategic Planning
Input Analysis
Initiate Activities
Abolish Inertia
Review of Prior Research in the Use of Patient Restraints
Use of Restraints in Caring for Patients
Patient Perceptions of Seclusion
Effectiveness of Seculsion
Reducing Violence Without Seclusion
Staff Support for Seclusion Rooms
Patient Perceptions of the Seclusion Room Process
Methodology
Introduction
Research Design
Research Questions and Hypotheses
Variables and Operational Definitions
Population and Sample
Data Collection
Data Analysis
Methodological Limitations
Method Summary
Appendix A
Survey Questionnaire
From the Paper
"Psychiatric mental health nurses frequently are required to care for patients who are acutely psychotic, aggressive, highly destructive, suicidal, or at risk of escape. Traditionally, "management strategies" for such patients have included the use of physical restraints, seclusion rooms, or constant one-to-one observation. These strategies have been criticized on grounds of ethics, economics, and efficacy (Montgomery & Johnson, 1996). The continued use of seclusion and restraint in psychiatric facilities "in the face of low confidence in such coercive interventions by health care professional may be a sign both of the persistence of traditional practices which have not been closely examined, as well as by the use of these traditional practices to shield the staff of such facilities against fear of mental illness, violence and loss of control" (Goren & Curtis, 1996, p. 7)."
| |
|
Restraints in Patient Care, 2002.
A literary analysis on whether the use of restraints in patient care benefits the patient or the care giver.
2,650 words (approx. 10.6 pages), 10 sources, $ 97.95
»
Click here to show/hide summary
Abstract
This paper analyzes various articles available on the use of restraints in patient care and examines the validity of the reasons provided for use by critiquing the values presented through the arguments strength and weaknesses.
| |
|
Restraining Patients, 2002.
A review of the new JCAHO rules on patient restraints.
13,900 words (approx. 55.6 pages), 43 sources, MLA, $ 249.95
»
Click here to show/hide summary
Abstract
This paper answers two questions related to the JCAHO guidelines on the use of patient restraints. The analysis concludes that all health care institutions must remain aware of reasoned and well-intentioned disagreement among medical professionals on some issues relative to the use of patient restraints. The analysis claims that the new criteria are intended to reduce substantially the use of patient restraints and to reduce completely the inappropriate use of patient restraints in hospital environments. The paper includes an experiment conducted at the Wellmont Health System.
From the Paper
"While little philosophical opposition exists to the new JCAHO criteria for the use of patient restraints in hospital environments, serious concerns have been expressed with respect to the liabilities to which hospitals may be exposed as a consequence of the implementation of the new criteria. One area of liability exposure could derive from the use of patient restraints outside the framework of the JCAHO criteria but within specific situations were restraint used was deemed necessary by institutional professional staff. A second area of liability exposure could derive from injuries to patients or others because patient restraints were not used even though such non use was consistent with the JCAHO criteria."
| |
|
Restraints, 2006.
A discussion on the use of restraints in both medical and psychiatric patients.
2,232 words (approx. 8.9 pages), 16 sources, APA, $ 69.95
»
Click here to show/hide summary
Abstract
This paper discusses the controversial issue of restraints and their use in certain medical and psychiatric treatments. It considers concerns regarding the correct and incorrect use of restraints, the types of restraints that are available for use, if the use of restraints causes the patient further physical and/or psychological problems and the effects that caring for a patient with restraints may have on the nursing staff.
From the Paper
"Another alternative that may be discussed is the use of chemical restraint via psychoactive medications. Unfortunately, the use of medications like benzodiazepines, antipsychotic and other sedative medications have unpredictable effects in the elderly and in some cases may actually contribute to the patient's confusion or agitation. The phenomenon of "sundowning" is frequently seen, where elderly patients become more agitated in the early evening hours especially when sedative medications are used. One may consider that the use of chemical restraint is preferable to physical restraint, but in the setting of adverse side effects, the benefit/risk ratio must be carefully weighed."
| |
|
The Use of Restraints in Nursing Homes, 2005.
An argument against the use of restraints on nursing home patients.
1,800 words (approx. 7.2 pages), 8 sources, $ 71.95
»
Click here to show/hide summary
Abstract
The paper examines how the use of physical and pharmacological restraints in hospitals and nursing homes has been around as long as the institutions using them. The writer argues that despite the Nursing Home Reform Act of 1987, risk of injury or death are still commonplace, and this casts serious doubt on its further use as a sound intervention.
From the Paper
"The use of physical and pharmacological restraints in hospitals and nursing homes has been around as long as the institutions using them. Today, the use of restraints in these institutions ranged from 41-64% at nursing homes and 33-68% in hospitals (Hamers & Huizing, 2005). The Health Care Financial Administration defines physical restraints as any manual method or physical or mechanical device, material, or equipment attached or adjacent to the individual's body that the individual cannot remove easily which restricts freedom of movement or normal access to one's body. (as cited in Cotter, 2005, p. 1). Use of restraints is ideally dictated by the desire to assure the safety of the patient or others from harm, even across cultures but to varying degrees (Ljunggren, Phillips & Sgadari, 1997)."
| |
|
African-Americans: Restraints And Limitations, 2002.
A look at how African-Americans have to overcome many obstacles to achieve equality - and how Malcolm X did this.
650 words (approx. 2.6 pages), 1 source, $ 26.95
»
Click here to show/hide summary
Abstract
This three-page undergraduate paper describes and explains the various restraints and limitations that curtailed the freedom of African-Americans, and discusses how Malcolm X succeeded in dealing with these injustices during his brief life.
| |
|
Nursing: Restraint Reduction, 2004.
A research proposal to investigate whether or not the move to restraint-free or restraint-reduced environments has led to an increase in fall-related injuries in the cognitively impaired elderly patient.
2,712 words (approx. 10.8 pages), 7 sources, MLA, $ 81.95
»
Click here to show/hide summary
Abstract
This paper proposes a study to determine the relationship between restraint use and fall-related injuries. It shows how exploring the difference both historically and currently between incidence of fall-related injuries will assist further research projects, and proposals by continuing to demonstrate the effectiveness of reduced restraint use for the safety of the patient population.
Outline
Purpose
Significance
Review of Literature
Methods
Human Subjects
From the Paper
"It has even become clear through research that something as simple as bilateral bed rail use does not meet the needs of the impaired patient in the nursing home. The standard of care associated with the use of bed rails and even the fundamental documentation of their supervised use has been a hard foundation to shatter, yet in several research studies, one of which will be detailed here there is a growing body of evidence that bed rails do not decrease the incidence of bed related falls in nursing home populations and might even increase such risk, due to the desire of the patient to care for themselves when there is no quick response from an overburdened nursing staff or when they are simply disoriented."
| |
|
Prior Restraint, 2003.
This paper outlines the Constitutional right and issue of prior restraint for injunction and other issues related to it.
1,512 words (approx. 6.0 pages), 10 sources, MLA, $ 49.95
»
Click here to show/hide summary
Abstract
This paper discusses the facts surrounding a problem of prior restraint. A particular case is presented, detailing a problem of someone finding out about weapons of mass destruction (WMD) in Iraq and being forced to remain silent. The issue is then discussed, and possible solutions are proposed in the framework of the Constitution.
From the Paper
"A citizen among the US inspector in Iraq discovers a nuclear device that has the potential to release material of mass destruction to the people within a radius of 10 mile. The inspector reports to the superiors but he is told to not to disclose any information as he is under oath when he signed up for inspection team. When the US government has not taken any action regarding the implication of the device the inspector decided to go to the newspaper. A reporter assured him that the law is on his side and that the inspector will not be liable for lawsuit. But the Attorney General has been informed and action for an injunction against the newspaper company is being carried out."
| |
|
Mechanical Restraint in Hospitals, 2002.
A review of a research into the staffing pattern of mechanical restraint use across a multiple hospital system.
1,520 words (approx. 6.1 pages), 1 source, MLA, $ 50.95
»
Click here to show/hide summary
Abstract
This paper examines a research aimed at establishing a link between the limitation of mechanical restraint on patients and the staffing of nurses. It describes the various stages of the research.
From the Paper
"The collection of the data was accomplished through the Data Management Center in the School of Nursing and through interviews and observations conducted by the researchers themselves. The variables that the collection of data was dependent on were the Data Management Center, but this was not clearly explained. The system that was used was certainly open to the influence of those handling the data. This could certainly affect the overall results. The design was certainly non-experimental as it depended on the data that was extracted from other sources as well as their own. Descriptive statistics were tabulated for all variables. There was a statistical test performed for each of the hypothesis and research question."
| |
|
Restraint Orders and Utilitarian Theory, 2006.
This paper discusses utilitarian theory and restraint orders within the setting of hospitals.
1,575 words (approx. 6.3 pages), 6 sources, $ 62.95
»
Click here to show/hide summary
Abstract
This paper examines a curious hospital policy within the context of utilitarian theory. Specifically, the paper explains what utilitarian theory is and notes how utilitarian theory can be used to both condemn and justify the policy. At the same time the paper outlines how the greatest good for the greatest number can be found by arriving at a middle approach to restraint policy which permits staff to only restrain individuals when they constitute a legitimate physical danger to themselves and to others.
From the Paper
"In some American hospitals, standing restraint orders and restraint PNR orders are not permitted. Using the utilitarian theory, the following paper will critique this policy position and argue that such a policy directive is untenable - at least according to utilitarian dictates. To put it another way, any hospital restraint policy which does not allow for standing restraint and/or for restraint PNR orders is essentially one which is privileging the freedom and interests of one individual above the collective interests and security concerns of everyone else within the facility; suffice it to say, the general threat to the well-being of others would seem to argue against any such initiative aimed at forbidding restraint measures within a hospital setting."
| |
|
Pre-Adjudication Restraint, 1999.
A look at the practice of detaining defendants prior to their trial because they are thought to be a danger to themselves as well as others.
950 words (approx. 3.8 pages), 0 sources, $ 33.95
»
Click here to show/hide summary
Abstract
This paper discusses and evaluates the effects of pre-adjudication restraint on deterrence and recidivism.
| |
|
Judicial Activism vs. Judicial Restraint, 2002.
The paper examines the way that the judiciary is empowered with the freedom to act in opposition to the wishes of the electorate using judicial activism, unlike the political branches who must follow the wishes of the voters.
1,161 words (approx. 4.6 pages), 4 sources, MLA, $ 40.95
»
Click here to show/hide summary
Abstract
The paper discusses how judicial activism is necessary because some issues are too difficult for the political branches of the government to confront. It examines how advocates of the opposing theory of "judicial restraint" hold that the judiciary should follow precedent carefully and defer to legislative decisions. It also analyzes the reasons the system of governmental checks and balances and judicial review was set up.
From the Paper
"Another important principle implicit in the Framers' writings and actions was that no branch of the government is infallible and this must be seen to apply to the majority of voters, whose will is expressed through their elected representatives, as much as it applies to the un-kingly presidency and the nonpartisan judiciary. Thus the will of the majority in various states was that schools be segregated by race and the rules of these localities codified this expressed wish of the majority which resulted in a status quo in which white and black children were educated separately and, according to advocates of the system, equally. Strict adherence to the will of the majority and to the right of states to decide their own course of action would have meant that the Supreme Court could only decide in Brown v. Board of Education (1954) that the majority's wishes must be respected. The decision to order desegregation, however, was based on no explicit Constitutional basis but on the finding that "government-supported racial discrimination violates the principle of equal justice under the law" (Patterson 425). Although this was widely perceived as a case in which the Constitutional principle could not be denied it should also be understood as a textbook case of the need for judicial review and the invalidating of laws that are unconstitutional."
| |
|
Fall Prevention in the Elderly, 2008.
A literature review discussing the use of restraints to prevent falls in elderly patients in nursing homes.
1,209 words (approx. 4.8 pages), 10 sources, APA, $ 41.95
»
Click here to show/hide summary
Abstract
This paper discusses the use of physical or chemical restraints as a preventive measure against falls in elderly patients. It analyzes the literature which implies that restraints do not decrease the incidence of falls and questions whether restraints should still be used to prevent falls in elderly patients in nursing homes. The paper then provides some recommendations to the problem.
Table of Contents:
Problem
Background of the Problem
Scope
Evidence Based on Literature
Recommendations
Strategies for Integration
From the Paper
"A decrease in mental status, with or without psychoactive drug use, and a perceived risk for falls was associated with subsequent restraint use, reiterating the need for patient assessment and treating the underlying condition rather than relying on restraints. Pharmacological assessment of psychotropic drugs, cardiovascular and neurological assessment of nursing home residents should be carried out in at-risk patients for falls (Lyons, 2004, Recommendation A). At-risk patients with a pertinent history for the above should be reviewed and acted upon accordingly and avoidance of restraint use due to the increased risk of falls and injuries (Lyons, 2004; Park, Hsiao-Chen Tang & Ledford, 2005, Recommendation A)."
| |
|
Quality Nursing, 2006.
This paper discusses the nursing policy of restraints and its merits.
900 words (approx. 3.6 pages), 8 sources, $ 35.95
»
Click here to show/hide summary
Abstract
The paper examines how both the College of Nurses of Ontario (CNO) and the Registered Nurses Association of Ontario (RNAO) have committed themselves to developing tools that will assist nurses in providing the highest quality care possible. One of these tools consists of a guide concerning restraints. The paper explains that the value of the policy on restraints is not merely of a practical nature but is observed also in forcing forces to think deeply about issues such as accountability and the implications of all practice.
| |
|
Community Health Nursing and the Elderly, 2008.
This paper explores the role of the community health nurse in the prevention of falls in elderly patients.
967 words (approx. 3.9 pages), 6 sources, APA, $ 34.95
»
Click here to show/hide summary
Abstract
The paper reveals that although falls continue to comprise a significant contributor to morbidity and mortality amongst elderly patients, the use of physical or chemical restraints has declined. The paper then examines interventions that can be utilized by the community health nurse to help the elderly avoid falls without the use of restraints. The paper concludes with recommendations for future nursing research.
Outline:
Public Health Issue
Significance to Community Health Nursing Practice
Incorporate into Nursing Practice
Recommendations for Future Nursing Research
From the Paper
"Falling is a normal part of motor development early among children and is a preventable injury. However, it is an unusual occurrence for adults and may therefore signal the presence of other underlying conditions (e.g. cognitive dysfunction due to illness). Degenerative neurological diseases, syncope caused by sudden hemodynamic instability visual impairment or motor weakness are some of the precipitating factors for falls in the elderly population. Unlike falls in the non-elderly population, trivial falls can cause significant indirect causes of morbidity and mortality. This is especially seen with hip fractures, where prolonged immobility can lead to venous stasis and fatal pulmonary embolisms during this course."
|
|
|
