scholarly journals Implementation of nonpharmacologic physical restraint minimization interventions in the adult intensive care unit: A scoping review

2021 ◽  
pp. 103153
Author(s):  
Ziad Alostaz ◽  
Louise Rose ◽  
Sangeeta Mehta ◽  
Linda Johnston ◽  
Craig Dale
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Scoping Review ◽  
Physical Restraint ◽  
Adult Intensive Care Unit

scholarly journals Physical Restraint in Adult Intensive Care Unit - Why and how are they used?

2016 ◽  
Vol 4 (2) ◽  
pp. 110-113
Author(s):  
Sushil Khanal ◽  
Subhash Prasad Acharya
Keyword(s):  
Intensive Care Unit ◽  
Patient Safety ◽  
Intensive Care ◽  
Patient Autonomy ◽  
Physical Restraint ◽  
Evidence Based ◽  
Adult Intensive Care Unit ◽  
Risk Of Injury ◽  
Ensure Patient Safety ◽  
Evidence Based Guidelines

Background: Physical restraint is preferred practice in adult critical care to reduce the risk of injury and ensure patient safety. However, data on the extent of restraint practice intensive care unit is unknown in our setting to develop evidence based guidelines to promote the scientific use of this modalityMethods: This observational study was conducted for determining the prevalence, motives and ongoing practices of physical restraint. Data were collected from direct observation of physically restrained patients, review of patients’ record and from the nursing staff.Results: The results revealed that physical restraint was commonly used to prevent device dislodgment and to ensure patient safety. The results illustrated a lack of documentation on initiation and monitoring of use physical restraint.Conclusion: For a better care of patients, it is very important to develop a restraint policy for rational use of physical restrain respecting the patient autonomy and freedom.Bangladesh Crit Care J September 2016; 4 (2): 110-113

Examination of Ethical Dilemmas Experienced by Adult Intensive Care Unit Nurses in Physical Restraint Practices

2014 ◽  
Vol 28 (2) ◽  
pp. 85-90 ◽  
Author(s):  
Gülendam Hakverdioğlu Yönt ◽  
Esra Akin Korhan ◽  
Berna Dizer ◽  
Fatma Gümüş ◽  
Rukiye Koyuncu
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Ethical Dilemmas ◽  
Physical Restraint ◽  
Adult Intensive Care Unit ◽  
Intensive Care Unit Nurses

scholarly journals Accuracy of delirium risk factors in adult intensive care unit patients

2022 ◽  
Vol 56 ◽  
Author(s):  
Luciana Aparecida Costa Carvalho ◽  
Marisa Dibbern Lopes Correia ◽  
Ráisa Camilo Ferreira ◽  
Micnéias Lacerda Botelho ◽  
Elaine Ribeiro ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Physical Restraint ◽  
Tissue Perfusion ◽  
Accurate Identification ◽  
Adult Intensive Care Unit ◽  
Sample Characterization ◽  
American Society ◽  
Predictive Risk

Abstract Objective: To assess the accuracy measurements for predisposing and precipitating Risk Factors for delirium in an adult Intensive Care Unit. Method: Cohort, prospective study with patients over 18 who had been hospitalized for over 24 hours and were able to communicate. The patients were assessed once a day until the onset of delirium or permanence in the Intensive Care Unit. Instruments were employed to track delirium, characterize the sample, and identify the risk factors. Descriptive statistics was employed for sample characterization and accuracy tests for risk factors. Results: The included patients amounted to 102, 31 of which presented delirium. The predisposing predictive risk factors were hypoalbuminemia, American Society of Anesthesiology over three, severity, altered tissue perfusion, dehydration, and being a male, whereas precipitating predictive factors were physical restraint, infection, pharmacological agent, polypharmacy, anemia, altered renal function, dehydration, invasive devices, altered tissue perfusion and altered quality and quantity of sleep. Conclusion: An accurate identification of predisposing and precipitating risk factors may contribute to planning preventive measures against delirium.

Sign in / Sign up

Export Citation Format

Share Document