Restraint-Free Care: Individualized

This book is designed to help clinicians, administrators, students, and families attain the goal of restraint-free care of the elderly. Written by leading experts in the field, the book contains specific strategies for understanding behavior, making constructive changes in the individual's environment, and managing the risk of falls and interference with necessary treatments. It is organized in outline form to highlight critical material and to be readily adaptable as a quick reference. The authors use individualized care as the book's underlying philosophy. The goals of individualized care include promoting comfort and safety, optimizing function and independence, and achieving the greatest possible quality of life. Such care requires clinicians to make sense of behavior rather than to control responses of clients. Numerous case studies, tables, and figures illustrate this practical and information-packed manual. Lists of resources are also included.

Contributors

ix

(2)

Preface

xi

1. Achieving Restraint-Free Care

1

(19)

Neville E. Strumpf

Lois K. Evans

Appendix A: Myths and Facts About Physical Restraint Use

16

(2)

Appendix B: Standards of Practice Related to Physical Restraint Use

18

(1)

Appendix C: Ethical Considerations Related to Physical Restraint Use

19

(1)

2. Implementing a Process of Change

20

(11)

Joanne Patterson Robinson

Neville E. Strumpf

Appendix A: Restraint-Free Care: Program Development and Implementation

30

(1)

3. Making Sense of Behaviour: Cornerstone of Individualized Care

31

(19)

Joanne Patterson Robinson

Pamela M. Zisselman

Appendix A: Perception Exercises

41

(1)

Appendix B: Guidelines for the Clinical Evaluation of Behavior

42

(2)

Appendix C: Behavior Log

44

(1)

Appendix D: Guidelines for Use of the Behavior Log

45

(2)

Appendix E: Example of Behavior Log in Progress

47

(2)

Appendix F: Paradigm Shift Toward Individualized Care

49

(1)

4. Responding to Behavioral Phenomena

50

(10)

Pamela M. Zisselman

Lois K. Evans

5. Assessment of Fall Risk and Prevention of Injurious Falls

60

(25)

Pamela M. Zisselman

Joanne Patterson Robinson

Appendix A: Risk Factors for Falls in the Elderly

76

(1)

Appendix B: Fall-Risk Assessment

77

(1)

Appendix C: Profile of the Fall-Prone Older Person

78

(2)

Appendix D: Case Example for Fall-Risk Assessment

80

(3)

Appendix E: Behavior Log

83

(2)

6. Caring for the Person Who Interferes with Treatment

85

(39)

Roseanne Hanlon Rafter

Neville E. Strumpf

Appendix A: General Guidelines for Individualized Care of Persons Receiving Various Treatments, Including Invasive Treatment, Including Invasive Treatment

104

(1)

Appendix B: Summary of Individulized Care for Persons Interfering with Treatment

105

(4)

Appendix C: Individualized Approaches in Cases of Limited Nutritional Intake

110

(1)

Appendix D: Individualized Approaches in Cases of Limited Nutritional Intake

110

(1)

Appendix E: Individualized Approaches in Cases of Difficulty in Swallowing

111

(2)

Appendix F: Individualized Approaches in Cases of Urinary Incontinence

113

(1)

Appendix G: Case Study

114

(2)

Appendix H: Behavior Log I: Removal of Nasogastric Tube

116

(2)

Appendix I: Behavior Log 2: Picking at Gastrostomy Tube Site

118

(2)

Appendix J: Behavior Log 3: Attempting to Pull Out Endotracheal Tube

120

(2)

Appendix K: Behavior Log 4: Attempting to Loosen Trachieostomy Ties and Remove Dressing

122

(2)

7. Maintaining a Process of Change

124

(23)

Joan Stockman Wagner

Neville E. Strumpf

Appendix A: Matrix of Behaviors and Interventions

137

(3)

Appendix B: Resources

140

(7)

Index

147

What is included with this book?

The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.

The Used, Rental and eBook copies of this book are not guaranteed to include any supplemental materials. Typically, only the book itself is included. This is true even if the title states it includes any access cards, study guides, lab manuals, CDs, etc.

FREE SHIPPING

Amazon no longer offers textbook rentals. We do!

Restraint-Free Care: Individualized Approaches for Frail Elders

Summary

Table of Contents

Supplemental Materials