2. THIS IS

3. 200 300 400 500 100 200 300 400 500 100 200 300 400 500 100 200 300 400 500 100 200 300 400 500 100 True or False Risk Factors Let’s Get Specific! Alternatives “ Tying” it all Together!

4. If a device restricts freedom of movement or access to ones body, it is considered a restraint

5. TRUE If a device restricts freedom of movement or access to ones body, it is considered a restraint.

6. Placing a residents bed against the wall may be a restraint

7. TRUE

8. Bean bags are not considered a restraint.

9. FALSE

10. The facility must attempt and document restraint alternatives prior to use of a restraint

11. TRUE

12. List three conditions that would put an elder at risk for restraint use

13. Dementia Unsteady Gait Decline in Mobility “Wanderer” Falls Agitation

14. List three environmental factors to consider when providing care to someone at risk for restraint use

15. Clear Pathways Clutter free rooms Arrangement of rooms to assist the elder in being more independent and safe Adjust bed and toilet height to appropriate levels Adequate lighting Overhead trapeze and non-skid surfaces as appropriate

16. Name two Care Practices that your facility can use to minimize the use of restraints for those residents at risk

17. Fall Prevention Programs Restorative Exercises Rehabilitation programs Distractions Activity boxes Television Social events

18. Name three risks that are potential outcomes of using a physical restraint

19. 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

20. True or False Prevention is the best care you can give to a person who is at high risk for restraints

21. True

22. 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

23. Physical Restraint

24. Give three examples of mechanical devices that could be used as a restraint

25. Table Siderails Chairs Walls Sheets Canes stuck through spokes of w/c’s trays

26. Name three examples of physical restraints

27. Lap trays / Lap buddies Lap cushions Vest restraints Hand mitts Geri chair / recliner

28. The general public can view our restraint score along with our other Quality Measures at what internet site?

29. Nursing Home Compare www.www.www.medicare.gov/NHcomp

30. Restraint or Enabler? Tucking in or using velcro to hold a sheet, fabric, or clothing tight to restrict movement

31. Restraint

32. Give an example of a double restraint

33. When more that one restraint is being used such as a seatbelt and then a table tray is used. Placing someone with a lap buddy close to a wall that the wall prevents the resident from rising or voluntarily moving.

34. Name three ways to enhance sleep that may reduce the need for restraints

35. Reduce noise Bedtime rituals Individual toileting plan at night, avoid waking if possible Avoid caffeine in evening Avoid fluids after 7pm Environmental-room temp, lighting

36. Name two ways to strengthen a resident to avoid falls

37. CRA Program Therapy Walk to Dine programs Exercise programs with restorative and activities Arrange room to encourage ambulation and movement Balance and fall education

38. Name two restraint alternatives for a resident that frequently falls out of bed

39. Low bed Mat on floor Scoop mattress Body pillow or item to define edge of bed Review/indiv. Toileting program Assess why getting up-investigate! Anticipate needs- know your residents! Night light

40. 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

41. Non-skid strips on the floor

42. Laws require that individuals who are restrained be released every ___ hours for 15 minutes of exercise

43. Two

44. It is estimated that approximately ____ individuals per year die from strangulation or suffocation from restraints

45. 200

46. Residents have the right to be free of physical restraints not required to treat the medical _________.

47. Symptoms

48. Restraint reduction efforts must focus on the ___________ and the underlying issue that initiated the application of a physical restraint

49. Individual

50. It is estimated that approximately ____ individuals per year die from strangulation or suffocation from restraints

51. 200

52. Currently, 34.9 million people 65 years and older in the US make Up 13% of the population. What do you think the percentage of this population will be in the year 2030?

53. By 2030, 71 million or 20% of US Population

54. 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 www.hardin.k12.ky.us/res_techn/sbjarea/math/MathJeopardy.htm This presentation and related materials were adapted by QSource, the Medicare Quality Improvement Organization for Tennessee, under contract with the Centers for Medicare & Medicaid Services (CMS). Contents do not necessarily reflect CMS policy. 8SOW-TN-TASK1A-2007-01