possible) to decrease the risk of injury to the patient or staff, not for staffing convenience and most importantly not to cause any harm or complications. In the scenario, it states that the patient has a mild dementia and drowsy from the medication. It does not state that he is a harm to himself or others, therefore, he would not warrant restraints. Even if his behavior warranted restraints initially, after the daughter arrived and patient was assisted to the bathroom the nurse should have reassessed the need for continuation of restraints, especially after noticing the patient had signs of pressure ulcer development. The complication of pressure ulcers could have been prevented in this scenario if they had a restraints process in place and were aware of the risk factors that could lead to pressure ulcers. NSI’s could aid the nurses in development of a restraint process that includes evidence-based best-practices for frequency of assessment of skin integrity and when to re-assess the need for continuation of restraints. Implementing a restraint
ORGANIZATIONAL SYSTEMS & QUALITY LEADERSHIP TASK 1 process would not only reduce the risk of pressure ulcer development, but in turn could increase the patient’s overall satisfaction with their outcome and the care they received.
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- Spring '16