Physical Restraint
Jeopardy
True or
False
Risk
Factors
Let’s Get
Specific!
100 pt
100 pt
100 pt
100 pt
100 pt
200 pt
200 pt
200 pt
200 pt
200 pt
300 pt
300 pt
300 pt
300 pt
300 pt
400 pt
400 pt
400 pt
400 pt
400 pt
500 pt
500 pt
500 pt
500 pt
500 pt
Alternatives “Tying” it all
Together!
100 points – True or False
True or False
If a device restricts freedom of
movement or access to one’s
body, it is considered a
restraint.
100 points
TRUE
200 points – True or False
True or False
Placing a resident’s bed
against the wall may be a
restraint.
200 points
TRUE
300 points – True or False
True or False
Bean bags are not
considered a restraint.
300 points
FALSE
400 points – True or False
True or False
The facility must attempt the
use of restraint alternatives
prior to the use of a restraint.
400 points
TRUE
500 points – True or False
True or False
Restraints may put a resident
at higher risk of injury.
500 points
TRUE
100 points – Risk Factors
List three conditions that would
put a resident at risk for
restraint use
100 points
Dementia
Unsteady Gait
Decline in Mobility
Wandering
Falls
Agitation
200 points – Risk Factors
List three environmental
factors to consider when
providing care to someone at
risk for restraint use
200 points
• 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
300 points – Risk Factors
Name two Care Practices
that your facility can use to
minimize the use of
restraints for those residents
at risk.
300 points
• Fall Prevention Programs
• Restorative Exercises
• Rehabilitation programs
• Distraction
• Activity boxes
• Television
• Social events
400 points – Risk Factors
Name three risks that are
potential outcomes of using
a physical restraint.
400 points
• Pressure Ulcers
• Agitation
• Permanent loss of
mobility
• Increased seriousness of
fall related injuries
• Strangulation
• Circulation impairment
• Depression
• Social isolation
• Loss of independence
• Contractures
• Increased incontinence
• Death
500 points – Risk Factors
True or False
Prevention is the best care
you can give to a person
who is at high risk for
restraints.
500 points
True
100 points – Let’s Get Specific
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
Physical
Restraint
200 points – Let’s Get Specific
Give three examples of
mechanical devices
that could be used as a
restraint
200 points
•
•
•
•
•
•
•
Table
Siderails
Chairs
Walls
Sheets
Canes stuck through spokes of w/c
Trays
600 points – Let’s Get Specific
Name three examples
of physical restraints
600 points
Lap trays / Lap buddies
Lap cushions
Vest restraints
Hand mitts
Geri chair / recliner
400 points – Let’s Get Specific
Is the following a Restraint or
an Enabler?
Tucking in or using velcro to
hold a sheet, fabric, or clothing
tight to restrict movement.
400 points
Restraint
500 points – Let’s Get Specific
Give an example of a
double restraint.
500 points
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.
100 points – Alternatives
Name three ways to
enhance sleep that may
reduce the need
for restraints.
100 points
• 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
200 points – Alternatives
Name two ways to physically
strengthen a resident to
decrease/avoid falls
200 points
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
300 points – Alternatives
Name two restraint
alternatives for a resident that
frequently falls out of bed.
300 points
•
•
•
•
•
•
•
•
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
400 points – Alternatives
Name two restraint
alternatives for a resident that
slides out of their chair.
400 points
• 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
500 points – Alternatives
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
Non-skid strips on the floor
100 points – “Tying” it all Together
Laws require that individuals
who are restrained be
released every ___ hours for
15 minutes of exercise.
100 points
Two
200 points – “Tying” it all Together
It is estimated that
approximately ____ individuals
per year die from strangulation
or suffocation as a result of
restraint use.
200 points
200
600 points – “Tying” it all Together
The general public can view a
NH’s restraint score along with
their other Quality Measures at
what internet site?
600 points
Nursing Home Compare
www.www.medicare.gov/NHcompare
400 points – “Tying” it all Together
Residents have the right to be
free of physical restraints not
required to treat a medical
_________.
400 points
Condition
500 points – “Tying” it all Together
Restraint reduction efforts
must focus on the ___________
and the underlying issue that
initiated the application of a
physical restraint
500 points
Individual
Jeopardy Game Template adapted from the work of Susan Collins
and Eleanor Savko, District Resource Teachers for Hardin County
Schools:
www.hardin.k12.ky.us/res_techn/sbjarea/math/MathJeopardy.htm
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