Chapter 33 Protective Devices
1 Webster’s third new international dictionary. Springfield (MA: Merriam-Webster, 1981.
2 Roberts KL, Brittin M, deClifford J. Boomerang pillows and respiratory capacity in frail elderly women. Clin Nurs Res. 1995;4(4):465-471.
3 Garber SL. Wheelchair cushions: a historical review. Am J Occup Ther. 1985;39(7):453-459.
33.2 Restraints
OVERVIEW.
A restraint is a device used to help immobilize a patient. A physical restraint is a manual, physical, or mechanical device that the patient cannot easily remove and that restricts freedom to move. Drug restraints are nonstandard medication treatments, used to control patient behavior and restrict freedom of movement.1 The purpose/rationale of using restraints has been to reduce fall-related injuries from chairs, beds, and during ambulation, to reduce wandering-related injuries, and to implement invasive medical care such as IV lines. Despite these reasons, physical restraint use has led to instances of strangulation, chest compression asphyxiation, escape-related trauma, and skin and nerve injuries.2
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