- Many of the precipitating risk factors for restraint use may have previously been predisposing factors but the change in settings and client situation threatens the client’s ability to cope.
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Cognitive Changes: • Delirium • Dementia • Sundowning • Unable to remember instructions |
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Decreased Mobility: • Bedridden • Lack of assistive devices |
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Environmental Factors: • Music • Noise • Temperature • Unfamiliar environment |
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Falls |
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Medications Influences: • Alcohol and substance abuse • Benzodiazepines • New medications • Polypharmacy • Psychoactive agents • Unanticipated side effects |
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Multiple Admissions |
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Surgery/ Procedural Interruptions |
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Unmet needs: • Anxiety • Fear • Hunger • Pain • Thirst • Toileting |
Clinical Management
Promoting Safety: Alternative Approaches to the Use of Restraints
Point of Care Resources