restraint in bed


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restraint in bed

Etymology: L, restringere, to confine; AS, bedd
the confinement of a person to bed rest by the use of mechanical, physical, or chemical means, if needed.
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Patient in bed with belt restraint

restraint in bed

The therapeutic use of physical restraint to prevent limb or body motion in bed. Siderails are placed on the bed full or half-length to prevent a patient from falling out of bed. Beds are maintained in low position to limit falls and injuries. A mattress alarm system may be used to alert nursing personnel if a patient's body is not contacting the mattress or a foot pad alarmed to sound if the patient attempts to stand.

Patient care

The nurse follows general guidelines for application of restraints. The nurse never ties restraints to bed siderails; rather, the restraints are anchored to a part of the bed that moves when the head is raised or lowered; the nurse uses a clove hitch to secure restraints so they will not tighten if tension is applied and so that they can be released rapidly in an emergency. A simple body restraint can be made by folding a sheet lengthwise to a 1-ft width. This restraint is placed under the patient's back and crossed in front below the armpits. The ends are secured to the side bar of the bed. This prevents some freedom in side-to-side movement.

See also: restraint