[Type the document title] [Type the document subtitle] Robynn Shines Course Name Name of Professor 3/5/2015 In many caregiving settings the bed is the home for the patient/resident. Beds should provide comfort safety, and a sense of protection. Bedrails are a feature that is meant to provide safety from falling out of bed for patients/residents who are not completely mobile. Bedrails have become a question of controversy because they can be considered a restraint and even pose a risk of injury or death when patients/residents become entrapped in the rails. Many studies have been done to determine whether bedrails do more good than bad and in what situations should bedrails even be used. Entrapment is one …show more content…
Reports of incidences where a patient was entrapped in the bedrails or fell to the floor when the bedrails collapsed was included in the study. According to Hignett and Griffiths (2005) split-side rail entrapments only accounted for 5% of the reported incidents. Out of a total of 794 reports, 396 entrapments resulted in deaths, 292 resulted in injury, and 53 in near misses. 355 of those reports included the type of bedrail, 199 split rails, 105 half rails, 37 full rails, and 14 three-quarter rails. Patients were often found with their head either between the rails or in the gap between the rail and either the head or foot board (38%). Following a collapse of a rail 22% were found on the floor. 18% of patients were found between the rail and the mattress and 14% were found with their upper or lower limbs in the rail. The results show that the outcome of the incident will change depending on the bedrail type. Half rails resulted in more serious incidences with 75% of entrapments occurring with the head, neck or
While being treated for an unrelated illness at the Pennsylvania Hospital a patient named Mary Flagiello fell and broker her ankle.
Mikkelson, Barbara. Urban Legends Reference Pages: Elevator Decapitation, Lift and Separate. Jan 18, 2007. Accessed at http://www.snopes.com/horrors/freakish/elevator.asp.
Seclusion and restraint started out in psychiatric hospitals and have now evolved into many schools. Restraint started out in England in the mid 19th century after having a history of poor conditions. Since Americans did not open up their first state- run mental hospital until 1822, they were unaware of the negative history that happened during the British reformation ("Human Side of Hospitals"). The American physicians thought that the restraints were keeping their patients safe when it was actually mistreatment of their patients. Anything that can be used to restrict the movements of a patient is a form of restraint. Things used as restraints can be leather or velcro wristlets or anklets that are used to hold the patient or attach them to their bed, lock them in their room, or by using sedating chemicals.
that the patient could easily snap out of it. Elf is admitted in the hospital after attempting
Physical restraint, according to Health Care Financing Administration, can be defined as any handling, physical and mechanical methods applied to a patient with the aim of denying him or her the freedom of movement or access to his or her own body (Di Lorenzo et al., 2011). It may involve use of belts or ties that restrain movement of an individual such as seclusion. Seclusion refers to isolation from others, often done in a room that’s I avoid of any furniture and has a small observable window as the only connection to the outside world (Chandler, 2012). The use of physical restraint in handling patients has been on debate for several years now. In most countries such Italy, it
The definition of grit is simple; it means being passionate about long term goals, and showing stamina to pursue them, but should students in public schools have a class dedicated to a grit-focused curriculum? This has become a major topic of discussion among teachers and mentors. Angela Duckworth, a professor of psychology at the University of Pennsylvania, claims grit is not a fixed quality but one that can be developed. Many disagree with her statement. Grit is something everyone all have within themselves, but some just do not utilize this characteristic as often or as well as others. Grit is a puzzling concept. Duckworth has had an obsession with grit for over a decade. Her obsession started when she visited West Point,
...l. "[The Use Of Physical Restraints In An Acute Care Hospital]." Assistenza Infermieristica E Ricerca: AIR 23.2 (2004): 68-75. MEDLINE. Web. 22 Oct. 2013.
...is if there are any. Also, listening on resident’s needs is considered important. For example, this author administers pain medication on time when resident requested. While administering pain medication, it is important for this author to assess pain based on the pain scale of zero to ten, location of pain, and reassessing pain in 30 minutes after the medication was administered. Another situation that is important for the nurse to learn is to follow up on lab draws for medication that requires peak and trough levels in order to either administer or hold the next dose of the medication. Also, some of the residents thought that this author has the rehabilitation floor in control. These are some of the important reasons why this author recommends nurses to return to school for their BSN education in order to provide safety for the patients and or residents.
Safety is a primary concern in the health care environment, but there are still many preventable errors that occur. In fact, a study from ProPublica in 2013 found that between 210,000 and 440,000 patients each year suffer preventable harm in the hospital (Allen, 2013). Safety in the healthcare environment is not only keeping the patient safe, but also the employee. If a nurse does not follow procedure, they could bring harm to themselves, the patient, or both. Although it seems like such a simple topic with a simple solution, there are several components to what safety really entails. Health care professionals must always be cautious to prevent any mishaps to their patients, especially when using machines or lifting objects, as it has a higher
In an article written by Samantha P. Ziglar, BSN, RN, she describes the main purpose of restraints through her eyes in the medical field. Ziglar states that at least one in every four patients will be restrained at least once, that’s 79.715 million people in the United States (Population). “Specific reasons include fall prevention, limiting wandering behavior and preventing dislodging or interference of therapeutic devices, and controlling violent or agitated behavior” (Ziglar 1). Ziglar emphasises the growing problem among restraints; improper use among nurses. “Patient safety should be every nurse’s top priority; therefore, nurses need to have a thorough knowledge base of the risks and benefits of using physical restraints” (1). As a result of what a nurse needs, restraints are required to succeed in his or her profession, making their patient as safe and comfortable as possible. The purpose of restraints as a whole is to provide patient protection. Ziglar lists the pros and cons of the use of restraints. Some major
...ches indicate how nurses can ensure prevention and mitigation of the problems experienced due to falls. There are various strategies that can be used to enhance the safety of individuals from falls. In order to be able to deal with these issues within the healthcare facilities, nurses must be involved in the effective policy making so that the risks of patient falling can be amicably dealt with. On the other hand, the nurses must be placed at the forefront of the implementation process of the designed interventions. Leaders must engage the nurses in applying the evidence-based therapies so that they can ensure good safety for the patients. Nurses are important in ensuring advocacy, education and the management of the facility environment. The nurses will therefore apply various necessary interventions that guarantee safe environments for the patients and the nurses.
Have you ever had to make a decision in your life? I’m pretty sure we all have, the decision can even be what you ate for breakfast in the morning. Robert Frost wrote a poem about a man who has to make an important decision. In the poem “The Road Not Taken”, by Robert Frost, he states, “Two roads diverged in a yellow wood and I - I took the one less traveled by, And that has made all the difference” (Woods). To me taking the road less traveled by means, doing something on your own. It means not following a crowd, it means doing something unique. It can be hard to go your own way, but that is what Robert Frost is talking about. Everybody should go the path is right for them, not the one that many other people have gone down. There are many examples of people taking the unexpected path, I have gone through a path many people have never seen before, so have
The current patient may be experiencing a range of traumatic injuries after his accident, the injuries that the paramedic will focus on are those that are most life threatening. These injuries include: a possible tension pneumothroax or a haemothorax, hypovolemic shock, a mild or stable pelvic fracture and tibia fibula fracture. A pneumothorax is defined as “the presence of air or gas in the plural cavity which can impair oxygenation and/or ventilation” (Daley, 2014). The development of a pneumothorax to a tension pneumothorax can be caused from positive pressure ventilation.
Griffiths, P. & Wilson-Barnett, J. (1998). The effectiveness of 'nursing beds': a review of the literature.
Rail transportation is a transportation in which for movement of people and goods which from one location to another destination. Rail had been takes the important role in physical and economic development of town and cities in a country and it was developed over the world. Rail transport can be made a property value in a country increase and it must be needs improvement in transportation network expanding (Goldberg, 1970). Thus, the railway services need to be done with continuous improvement and it is important to the rail passengers of the range and quality of facilities and service on stations and trains (Gleave, S. D., 2000). The future development to a public transportation is a key to affect