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restraint

Any device, drug or method used to limit a person's movement or behavior that they cannot easily remove or refuse.

rih-STRAYNT noun

What it means

A physical restraint is a device such as wrist ties, a vest or, in some cases, four side rails up. A chemical restraint is a drug given to control behavior that is not a standard treatment for the client's condition. Restraints are a last resort, used only to keep the client or others safe when less restrictive measures have failed, and need a provider's order for a limited time.

For the nurse

Try alternatives first (sitter, frequent rounding, bed alarm, treating pain or confusion). If used, check the client and restraint often per policy, offer food, fluids and toileting, release for range of motion, and tie to the bed frame with a quick-release knot, never to the side rail. Document the reason, alternatives tried and each check.

At a glance

Spanishsujeción, restricción física
Also writtenrestraints

Related terms

delirium

A sudden state of confusion and poor attention that comes and goes over hours or days.

advocate

To speak up and act for a client's rights, safety and wishes; also, a person who does this.

autonomy

A person's right to make their own choices about their body and their care.

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