From the list below choose all the items that are proper alt

From the list below choose all the items that are proper alternatives to the use of restraints. Select all that apply Select one or more: Raise the side rails on both sides of the bed. Reduce the environmental stimulation as much as is safely possible. Allow restless patients to walk or sit in a rocking chair. Inform the patient about the impending use of restraints if the behavior is not altered. Turn on all the lights in the room. Consider moving the patient closer to the nurse\'s station for more frequent checks. Assess for pain and treat appropriately Rule out causes for agitation Turn on the TV or radio for distraction. Involve the family Administer prn medications for pain and anxiety to promote rest.

Solution

As for the alternatives to the use of restraints from the options given in the question are,

a) Raise the side rails on both sides of the bed, to look out that the patient won\'t be able to leave from the bed, then it is also considered as the physical restraint so it doesnt count as a proper alternative of it. If one wants to use bed as the alternative of restraints then it must be lower to the floor with half rails or no rails on sides of bed.

b) Reduce environmental stimulation as much as safely possible. yes, if some environmental stimulus is causing agitation and anxiety and misbehaviour in patient only that stimulus can be reduceded.

c) Allow restless patients to walk or sit in rocking chair, No its definitely not an alternative because if one allows this kind of patients to sit in rocking chair, the patient would not be able to balance their body in it and can harm themselves or others near them.

d) Inform the patients about the use of restraints is not appropriate because it won\'t fall under the careful and hospitable environment. Patient may become more restless and harmful upon hearing this.

e) Turn on all the lights in room. We should keep a watch on the lights as it would not too bright or too dim. If we turn on all the lights in the room it will be too bright for the patient which is not good.

f) Consider moving the patient closer to the nurse\'s station for more frequent checks. It can improve the patient\'s behaviour and its health if a nurse checks on patient frequently with care and it gives him/her a friendly environment.

g) Assess for pain and treat appropriately. Before applying the constraints one should surely check for any pain and discomfort experienced by patient which may be changing the behaviour of the patient. Treating it properly would eliminate the use of constraints.

h) Rule out causes for agitation. The reason for this can be given as above.

i) Turn on the TV and radio for distraction. We can do this on low volume and turn on the soothing music can distract the patient from the misbehave

j) Involve the family. Encouraging the family of patient to meet him frequently is a good alternative aspatient would feel caring and homely around them and not feel abandoned by the family, which can improve patient\'s health.

k) Administer medications for pain and anxiety to promote rest is also called one kind of chemical constraints as given to the patient whenever needed which harms the physiological health of patients which is no alternative.