MEDizzy - A nursing home client is confused and trying to get out of

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Safe and Effective Care Environment

A nursing home client is confused and trying to get out of bed. The client suffered a broken hip from a fall 6 months ago and is unable to walk independently. Alternatives to restraints have been tried; however, the client continues to try to get out of bed. A decision has been made to apply restraints. Which type of restraint would be best for this client to prevent getting out of bed?

ExplanationA jacket restraint is the best restraint to prevent the client from getting out of bed as it secures both the shoulder and the waist and yet allows the client to turn from side to side. The client would still be able to sit up and try to get out of bed with ankle restraints. Mitten restraints prevent the use of hands but still allow free arm movement. A belt restraint is less restrictive than a jacket.