Alternatives to Restraints in Elder Care

Alternatives to Restraints in Elder Care 

The purpose of this course is to familiarize the learner with alternatives to restraints in the elder care environment. Participants will recognize harms associated with the use of restraints, and alternatives that support person-centered care will be presented. This course engages the learner in identifying the proper use of supportive devices with restraining qualities.

$20.00

Hours: 1.00
REL-PAC-0-REC

Certificates

Certificates provided by accrediting body (4 Match)

Washington State Department of Social and Health Services (ALL Direct Care Workers)

1.0 HOURS


Relias Learning, LLC is approved as a Curriculum Developer by the Washington State Department of Social and Health Services. This activity is approved for 1.00 contact hours for all WA State Direct Care Workers. Training Provider Code: WA0624. CE Approval Code: CO1933266

Oregon Department of Human Services (AFH)

1.0 HOURS


Florida Board of Nursing - Certified Nursing Assistants

1.0 HOURS


This is not an accredited course for professional license renewal. Florida CNAs may use this inservice toward meeting their annual inservice requirement.This activity is approved for 1.00 contact hours.

National Association of Long Term Care Administrator Boards (NHA)

1.0 HOURS


This educational offering has been reviewed by the National Continuing Education Review Service (NCERS) of the National Association of Long Term Care Administrator Boards (NAB) and approved for 1.00 clock hours. If you have any feedback regarding the NAB approved continuing education programs, send your email to the following address: [email protected]

Course Details

Course Code: REL-PAC-0-REC
Hours: 1
Type: Online Course
Content Expiration Date: 9/30/2023
Learning Objectives:
Recognize forms of restraining devices used in elder care and identify reasons for use of supportive devices with restraining qualities.
Understand the negative aspects of the use of restraints on persons with dementia.
List at least three physical and emotional harms caused by restraining devices.
Demonstrate various alternatives to the use of restraining devices including proper medication usage, activity and exercise, and effective caregiver training on resident centered care.
Develop strategies to promote safety and independence.

Outline:

1. Overview



a. Course description



b. Objectives



c. Pre-test (true/false, multiple choice)



2. What is a restraint?



a. Introduction



b. Types of restraining devices



i. Physical restraints



1. Laws



2. Case Illustration



ii. Chemical restraints



1. Types/medications



2. Checkpoint



3. History of restraints



a. Prevalence



b. Legislative protections



c. Research outcomes



d. Checkpoint



4. Common restrictive devices/restraints



a. Lap buddy, seat belts, side rails, others



b. Restraint quality



c. Risks of adverse outcomes



d. Checkpoint



e. Personal alarms



f. Checkpoint



5. Considerations about the use of restraints



a. Psychological harm



b. Ethical considerations



c. Less restrictive alternatives



d. Physical problems caused by restraints



e. Checkpoint



6. Alternatives to restraints



a. Introduction



b. Prevention of problems through provision of proper care



i. Medication use



ii. Activities



iii. Checkpoint



iv. Staff training/retention



v. Care of residents living with dementia



1. Behavioral expressions of distress



2. Checkpoint



3. Interpreting behavioral cues



4. Taking care of basic needs



5. First-line interventions



6. Checkpoint



7. Activities



8. Environment



9. Balance stimulation with rest



10. Cognitive fatigue



11. Aggressive behaviors as a form of distress



a. Assess for pain



b. Notice nonverbal cues



c. Checkpoint



12. How to prevent wandering



vi. Preventing falls



1. Fatigue, movement, and exercise



2. Role of medications



3. Gait and balance disorders



4. Good sleep



5. Checkpoint



7. Course summary



a. Review of key points



i. Restraints implicated in injury and death



1. Lawful use



2. Not to be used a first-line intervention



ii. Adopt alternative to restraints



1. Person-centered approach



2. Understand and interpret underlying needs



3. Provide respectful, compassionate care



iii. Alternatives offer better and safer care



8. Final Exam (Posttest)


Instructor: Catherine Zimmerman, LICSW, ACHP-SW, CSW-G
Catherine Zimmerman is a licensed independent clinical social worker who has a private practice providing counseling services to people of all ages and all stages of their lives. She is a freelance healthcare writer and speaker specializing in mental health, ethics, hospice and palliative care, gerontological topics, substance misuse, caregiving, stress and trauma.  Zimmerman received her master's degree from Portland State University thirty years ago and is certified in clinical social work-Gerontology. Zimmerman supervises and mentors therapists seeking licensure in Oregon or Washington states. She is the current President of the Washington chapter of the National Association of Social Workers and has provided public presentations on over twenty topics and has numerous published works. Disclosure: Catherine Zimmerman, LICSW, ACHP-SW, CSW-G has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Instructor: Cynthia McDaniel, MSN, RN
Cynthia McDaniel MSN RN, is a nurse and administrative consultant in long term care. She is the CEO of ElderWise Inc, a senior living consulting and education group. Cynthia has worked as a nurse consultant for the States of Oregon and Washington,  a geriatric care manager, a regional director of clinical operations for a senior living company, and an assistant professor at Oregon Health & Science University School of Nursing. Her research in assisted living focused on the characteristics of residents in assisted living communities and the role of the nurse in assisted living. Cynthia holds a Master's of Science in Nursing from Gonzaga University in nursing education. She is a Fellow of the Sigma Theta Tau/John A. Hartford Foundation Geriatric Nursing Leadership Academy.  Disclosure: Cynthia McDaniel, MSN, RN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Administrators; in the following settings: Post-Acute Care.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Accommodations
If you require special accommodations to complete this module, please contact Relias Customer Support here.