A client has been ordered to be placed in restraints after all other methods have failed to keep him safe.  What care should be provided to the client during this time?

QUESTION

ANSWER

Providing Care to a Client in Restraints

Introduction

When all other methods have failed to ensure the safety of a client, the use of restraints may be necessary. However, it is essential to approach this intervention with caution and adhere to specific guidelines to ensure the well-being and dignity of the client. This essay will discuss the care that should be provided to a client placed in restraints.

Continuous Monitoring and Assessment

While a client is in restraints, continuous monitoring and assessment are crucial to ensure their safety and well-being (Watkins et al., 2016). The nursing staff should regularly check on the client, monitoring vital signs, assessing their comfort level, and evaluating any potential complications. Frequent assessments should be performed, including observing for signs of skin breakdown, circulation impairment, or respiratory distress.

Communication and Emotional Support

Even when in restraints, clients must be treated with empathy and respect. Communication should be maintained throughout the process to reassure the client, explain the reasons for the restraint, and ensure their understanding (Molina-Mula & Gallo-Estrada, 2020b). Nurses should provide emotional support by actively listening to the client’s concerns and offering comfort. Taking the time to address their emotional needs can help alleviate distress and promote a sense of dignity.

Providing Basic Needs

Clients in restraints must have their basic needs met. Nurses should ensure that the client has access to food, water, and toileting facilities. If necessary, assistance with feeding or personal hygiene should be provided. It is crucial to maintain a safe and hygienic environment for the client while they are in restraints (Goldenhart, 2022). Regular turning and positioning should be implemented to prevent pressure ulcers or discomfort due to prolonged immobilization.

Conclusion

 When restraints are deemed necessary as a last resort to maintain the safety of a client, providing appropriate care becomes paramount. Continuous monitoring and assessment, effective communication and emotional support, and meeting basic needs are essential aspects of care during this time. By adhering to these interventions, healthcare professionals can help ensure the well-being and dignity of the client.

References

Goldenhart, A. L. (2022, September 26). Assisting Patients With Personal Hygiene. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK563155/ 

Molina-Mula, J., & Gallo-Estrada, J. (2020b). Impact of Nurse-Patient Relationship on Quality of Care and Patient Autonomy in Decision-Making. International Journal of Environmental Research and Public Health, 17(3), 835. https://doi.org/10.3390/ijerph17030835 

Watkins, T., Whisman, L., & Booker, P. (2016). Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. Journal of Clinical Nursing, 25(1–2), 278–281. https://doi.org/10.1111/jocn.13102