Physical Restraint Jeopardy

1
Physical Restraint Jeopardy
2
True or False
Risk Factors
Lets Get Specific!
Tying it all Together!
Alternatives
100 pt
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200 pt
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300 pt
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3
100 points True or False
True or False If a device restricts freedom of
movement or access to ones body, it is
considered a restraint.
4
100 points
TRUE
5
200 points True or False
True or False Placing a residents bed against
the wall may be a restraint.
6
200 points
TRUE
7
300 points True or False
True or False Bean bags are not considered a
restraint.
8
300 points
FALSE
9
400 points True or False
True or False The facility must attempt the use
of restraint alternatives prior to the use of a
restraint.
10
400 points
TRUE
11
500 points True or False
True or False Restraints may put a resident at
higher risk of injury.
12
500 points
TRUE
13
100 points Risk Factors
List three conditions that would put a resident
at risk for restraint use
14
100 points
Dementia Unsteady Gait Decline in
Mobility Wandering Falls Agitation
15
200 points Risk Factors
List three environmental factors to consider
when providing care to someone at risk for
restraint use
16
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

17
300 points Risk Factors
Name two Care Practices that your facility can
use to minimize the use of restraints for those
residents at risk.
18
300 points

• Fall Prevention Programs
• Restorative Exercises
• Rehabilitation programs
• Distraction
• Activity boxes
• Television
• Social events

19
400 points Risk Factors
Name three risks that are potential outcomes of
using a physical restraint.
20
400 points

• Pressure Ulcers
• Agitation
• Permanent loss of
• mobility
• Depression
• Loss of independence
• Increased incontinence

• Increased seriousness of fall related injuries
• Strangulation
• Circulation impairment
• Social isolation
• Contractures
• Death

21
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.

22
True
500 points
23
100 points Lets Get Specific
What is any manual method, physical or
mechanical device, material, or equipment
attached or adjacent to the residents body that
the individual cannot remove easily which
restricts freedom of movement or normal access to
ones body called?
24
100 points
Physical Restraint
25
200 points Lets Get Specific
Give three examples of mechanical devices that
could be used as a restraint
26

200 points

• Table
• Siderails
• Chairs
• Walls
• Sheets
• Canes stuck through spokes of w/c
• Trays

27
600 points Lets Get Specific
Double Jeopardy
Name three examples of physical restraints
Double Jeopardy
28
600 points
Double Jeopardy
Lap trays / Lap buddies Lap cushions Vest
restraints Hand mitts Geri chair / recliner
29
Is the following a Restraint or an Enabler?
400 points Lets Get Specific
Tucking in or using velcro to hold a sheet,
fabric, or clothing tight to restrict movement.
30
400 points
Restraint
31
500 points Lets Get Specific
Give an example of a double restraint.
32
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.
33
100 points Alternatives
Name three ways to enhance sleep that may reduce
the need for restraints.
34
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

35
200 points Alternatives
Name two ways to physically strengthen a resident
to decrease/avoid falls
36
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

37
300 points Alternatives
Name two restraint alternatives for a resident
that frequently falls out of bed.
38
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

39
400 points Alternatives
Name two restraint alternatives for a resident
that slides out of their chair.
40
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

41
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
42
500 points

• Non-skid strips on the floor

43
100 points Tying it all Together
Laws require that individuals who are restrained
be released every ___ hours for 15 minutes of
exercise.
44
100 points
Two
45
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.
46
200
200 points
47
600 points Tying it all Together
Double Jeopardy
The general public can view a NHs restraint
score along with their other Quality Measures at
what internet site?
Double Jeopardy
48
600 points
Double Jeopardy

• Nursing Home Compare
• www.www.medicare.gov/NHcompare

Double Jeopardy
49
400 points Tying it all Together
Residents have the right to be free of physical
restraints not required to treat a medical
_________.
50
400 points

• Condition

51
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
52
500 points

• Individual

53
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/MathJe
opardy.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