Physical Restraint Jeopardy

200 pt 300 pt 400 pt 500 pt 100 pt 200 pt 300 pt 400 pt 500 pt 100 pt 200 pt 300 pt 400 pt 500 pt 100 pt 200 pt 300 pt 400 pt 500 pt 100 pt 200 pt 300 pt 400 pt 500 pt 100 pt True or False Risk Factors Let’s Get Specific! Alternatives “Tying” it all Together!

True or False If a device restricts freedom of movement or access to one’s body, it is considered a restraint. 100 points – True or False

TRUE 100 points

True or False Placing a resident’s bed against the wall may be a restraint. 200 points – True or False

TRUE 200 points

True or False Bean bags are not considered a restraint. 300 points – True or False

FALSE 300 points

True or False The facility must attempt the use of restraint alternatives prior to the use of a restraint. 400 points – True or False

TRUE 400 points

True or False Restraints may put a resident at higher risk of injury. 500 points – True or False

TRUE 500 points

List three conditions that would put a resident at risk for restraint use 100 points – Risk Factors

Dementia Unsteady Gait Decline in Mobility Wandering Falls Agitation 100 points

List three environmental factors to consider when providing care to someone at risk for restraint use 200 points – Risk Factors

Make sure pathways are clear Free room of clutter Arrange room to assist the resident in being more independent and safe Adjust bed and toilet height to appropriate levels Provide adequate lighting Provide overhead trapeze and non-skid surfaces as appropriate 200 points

Name two Care Practices that your facility can use to minimize the use of restraints for those residents at risk. 300 points – Risk Factors

Fall Prevention Programs Restorative Exercises Rehabilitation programs Distraction Activity boxes Television Social events 300 points

Name three risks that are potential outcomes of using a physical restraint. 400 points – Risk Factors

Pressure Ulcers Agitation Permanent loss of mobility Depression Loss of independence Increased incontinence Increased seriousness of fall related injuries Strangulation Circulation impairment Social isolation Contractures Death 400 points

True or False Prevention is the best care you can give to a person who is at high risk for restraints. 500 points – Risk Factors

True 500 points

What is “any manual method, physical or mechanical device, material, or equipment attached or adjacent to the resident’s body that the individual cannot remove easily which restricts freedom of movement or normal access to one’s body” called? 100 points – Let’s Get Specific

Physical Restraint 100 points

Give three examples of mechanical devices that could be used as a restraint 200 points – Let’s Get Specific

Table Siderails Chairs Walls Sheets Canes stuck through spokes of w/c Trays 200 points

Name three examples of physical restraints 600 points – Let’s Get Specific

Lap trays / Lap buddies Lap cushions Vest restraints Hand mitts Geri chair / recliner 600 points

Tucking in or using velcro to hold a sheet, fabric, or clothing tight to restrict movement. Is the following a Restraint or an Enabler? 400 points – Let’s Get Specific

Restraint 400 points

Give an example of a double restraint. 500 points – Let’s Get Specific

When more than one restraint is being used such as a seatbelt and then a table tray. Placing someone with a lap buddy close to a wall so the wall prevents the resident from rising or voluntarily moving. 500 points

Name three ways to enhance sleep that may reduce the need for restraints. 100 points – Alternatives

Reduce noise Establish bedtime rituals/routines Individual toileting plan at night Avoid waking if possible Avoid caffeine in evening Avoid fluids after 7pm Room temp to comfort of resident Lighting 100 points

Name two ways to physically strengthen a resident to decrease/avoid falls 200 points – Alternatives

Restorative Aide Program PT/OT Therapy Walk to Dine programs Exercise programs with restorative exercises and activities Arrange room to encourage ambulation and movement Balance and fall education 200 points

Name two restraint alternatives for a resident that frequently falls out of bed. 300 points – Alternatives

Low bed Mat on floor Scoop mattress Body pillow or item to define edge of bed Review individualized toileting program Assess reasons for getting up Anticipate needs-know your residents Night light 300 points

Name two restraint alternatives for a resident that slides out of their chair. 400 points – Alternatives

PT/OT evaluation Assess if trying to get up or lack of body control Evaluate sleep/rest patterns Keep resident in area with staff supervision Involve in activities as desired Strengthening programs /posture control programs Alternative seating, slant cushions, wedges, high back chair, solid seat, dycem (nonslip mat), pommel cushion, trunk bolsters, ½ lap tray, armed chairs Assess chair for proper fit and size 400 points

Of the following restraint alternatives, which one would not be considered a restraint Half Rails Body Alarms Body pillow or wedge cushion used in bed Non skid strips on the floor 500 points – Alternatives

Non-skid strips on the floor 500 points

Laws require that individuals who are restrained be released every ___ hours for 15 minutes of exercise. 100 points – “Tying” it all Together

Two 100 points

It is estimated that approximately ____ individuals per year die from strangulation or suffocation as a result of restraint use. 200 points – “Tying” it all Together

points

The general public can view a NH’s restraint score along with their other Quality Measures at what internet site? 600 points – “Tying” it all Together

Nursing Home Compare points

Residents have the right to be free of physical restraints not required to treat a medical _________. 400 points – “Tying” it all Together

Condition 400 points

Restraint reduction efforts must focus on the ___________ and the underlying issue that initiated the application of a physical restraint 500 points – “Tying” it all Together

Individual 500 points

Jeopardy Game Template adapted from the work of Susan Collins and Eleanor Savko, District Resource Teachers for Hardin County Schools: This material was prepared by the Kansas Foundation for Medical Care, Inc. (KFMC), the Medicare Quality Improvement Organization for Kansas, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Publication #10SOW-KS-NH_PR-11-14