Quels facteurs liés à l'âge influencent le risque ?
Les personnes âgées, souvent plus vulnérables, peuvent avoir un risque accru de besoin de contention.
Personnes âgéesVulnérabilité
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"name": "Comment évaluer la nécessité de contention physique ?",
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"acceptedAnswer": {
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"text": "L'évaluation se base sur le comportement du patient et le risque de blessure."
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{
"@type": "Question",
"name": "Quels signes indiquent une agitation nécessitant une contention ?",
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"text": "L'agitation, l'agressivité ou le risque de chute sont des signes clés."
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"name": "Quels outils sont utilisés pour diagnostiquer l'agitation ?",
"position": 3,
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"@type": "Question",
"name": "Quand la contention est-elle considérée comme inappropriée ?",
"position": 4,
"acceptedAnswer": {
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"text": "Si le patient est capable de se contrôler sans risque, la contention est inappropriée."
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"@type": "Question",
"name": "Quels professionnels évaluent la nécessité de contention ?",
"position": 5,
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"@type": "Question",
"name": "Quels symptômes peuvent nécessiter une contention physique ?",
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"text": "L'agitation, la désorientation ou le comportement violent peuvent nécessiter une contention."
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"@type": "Question",
"name": "Comment reconnaître une détresse psychologique ?",
"position": 7,
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"@type": "Question",
"name": "Quels comportements sont souvent observés avant la contention ?",
"position": 8,
"acceptedAnswer": {
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"text": "Des mouvements désordonnés, des cris ou des tentatives de fuite sont souvent observés."
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"name": "Quels signes physiques peuvent alerter sur un besoin de contention ?",
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"acceptedAnswer": {
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"text": "Une agitation motrice excessive ou des gestes brusques peuvent alerter sur ce besoin."
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"name": "Comment évaluer l'état émotionnel d'un patient ?",
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"@type": "Question",
"name": "Comment prévenir le besoin de contention physique ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des interventions préventives comme la communication et la gestion du stress peuvent aider."
}
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"@type": "Question",
"name": "Quels environnements réduisent le besoin de contention ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des environnements calmes et sécurisés, avec un personnel formé, réduisent ce besoin."
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"@type": "Question",
"name": "Comment former le personnel à la prévention ?",
"position": 13,
"acceptedAnswer": {
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"text": "Des formations sur la gestion des comportements et la communication sont essentielles."
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"@type": "Question",
"name": "Quels outils peuvent aider à la prévention ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des outils de communication et des techniques de désescalade sont utiles pour prévenir la contention."
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"name": "Comment impliquer les familles dans la prévention ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Informer et former les familles sur la gestion des comportements peut réduire le besoin de contention."
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"@type": "Question",
"name": "Quels traitements alternatifs à la contention existent ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des interventions verbales, des médicaments ou des techniques de relaxation peuvent être utilisées."
}
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{
"@type": "Question",
"name": "Comment la contention physique est-elle mise en œuvre ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle doit être réalisée par des professionnels formés, en respectant les protocoles de sécurité."
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{
"@type": "Question",
"name": "Quels sont les risques associés à la contention physique ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les risques incluent des blessures physiques, des traumatismes psychologiques et des complications médicales."
}
},
{
"@type": "Question",
"name": "Comment évaluer l'efficacité de la contention ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'efficacité est évaluée par l'observation des comportements et la réduction des risques."
}
},
{
"@type": "Question",
"name": "Quelles sont les recommandations post-contenction ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Surveiller le patient, évaluer son état et discuter des alternatives à la contention."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir après une contention ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des complications physiques comme des ecchymoses ou des douleurs, et psychologiques peuvent survenir."
}
},
{
"@type": "Question",
"name": "Comment gérer les complications post-contenction ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Surveiller le patient et fournir un soutien psychologique sont essentiels pour gérer les complications."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une complication grave ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des signes comme des difficultés respiratoires ou des changements de conscience doivent alerter."
}
},
{
"@type": "Question",
"name": "Comment prévenir les complications liées à la contention ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une évaluation continue et une communication ouverte avec le patient peuvent prévenir les complications."
}
},
{
"@type": "Question",
"name": "Quels suivis sont nécessaires après une contention ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un suivi médical et psychologique est nécessaire pour évaluer l'état du patient après contention."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le risque de besoin de contention ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des antécédents de troubles mentaux, d'agitation ou de comportements violents augmentent le risque."
}
},
{
"@type": "Question",
"name": "Comment l'environnement influence-t-il le risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un environnement stressant ou chaotique peut augmenter le risque de comportements nécessitant une contention."
}
},
{
"@type": "Question",
"name": "Quels antécédents médicaux sont des facteurs de risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des antécédents de traumatismes, de maladies neurologiques ou psychiatriques sont des facteurs de risque."
}
},
{
"@type": "Question",
"name": "Comment le soutien social affecte-t-il le risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un bon soutien social peut réduire le risque de comportements nécessitant une contention physique."
}
},
{
"@type": "Question",
"name": "Quels facteurs liés à l'âge influencent le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les personnes âgées, souvent plus vulnérables, peuvent avoir un risque accru de besoin de contention."
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Nursing Department; Ministry of Education Key Laboratory of Child Development and Disorders; National Clinical Research Center for Child Health and Disorders (Chongqing); China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, P.R. China.
Nursing Department; Ministry of Education Key Laboratory of Child Development and Disorders; National Clinical Research Center for Child Health and Disorders (Chongqing); China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, P.R. China.
Physical restraints (PRs) are frequently used in adult critical care units to protect staff and prevent self-harm, despite the fact that they represent significant safety risks. Restraint complication...
This integrative review included the studies published between January 2009 and December 2019 and the literature search was conducted in July 2020. The databases searched included EBSCOhost, Ovid, Pro...
The findings were evaluated and summarized into seven key topics after twenty-one publications were found to be evaluated. i) High prevalence of PR application in adult critical care unit; ii) determi...
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A naturalistic design guided this study. Narrative interview data were analysed using reflexive thematic analysis. The participants were twelve registered nurses recruited from an inpatient ward for a...
Three main themes were developed: providing good nursing care during coercive treatment; having ethical concerns about nasogastric tube feeding under restraint when the patient reaches a body mass ind...
Nurses find nasogastric tube feeding under restraint to be part of life-saving nursing for patients with severe anorexia nervosa. It raises ethical concerns, especially with patients with a body mass ...
Physical restraint of patients in intensive care units (ICUs) has an estimated prevalence of 50%. Many medical centres do not have specific protocols for physical restraint, and the decision of whethe...
To report prevalence and outcomes in terms of morbidity and mortality of physical restraint in general ICU patients in an 800-bed secondary medical centre....
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Among the patients, 40% (256 of 647) required physical restraint. Older adult patients had a greater likelihood of being physically restrained along with those admitted because of sepsis or acute resp...
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In intensive care units, patients are often restrained to ensure their safety, with physical restraints being the most commonly used method. However, physical restraints compromises the patient's free...
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This study developed a restraint decision tree for neurocritical patients (RDT-N) to assist nurses in making PR decisions. We assessed its effectiveness in reducing PR use and adverse events....
This study employed a baseline and post-intervention test design at a NCU with 19 beds and 45 nurses in a tertiary hospital in a metropolitan city in South Korea. Two-hundred and thirty-seven adult pa...
Post-intervention, total number of restrained patients decreased (20.7%-16.3%; χ...
The RDT-N effectively reduced PR use and adverse events. Its application can enhance patient-centred care based on individual condition and potential risks in NCUs....
Nurses can use the RDT-N to assess the need for PR in caring for neurocritical patients, reducing PR use and adverse events....
Children with behavioral health conditions often experience agitation when admitted to children's hospitals. Physical restraint should be used only as a last resort for patient agitation because it en...
Using quality improvement methodology, a multidisciplinary team designed, tested, and implemented interventions including a series of daily deescalation huddles led by a charge behavioral health clini...
Our cohort included 527 consecutive patients hospitalized in the MBU between January 2021 and January 2023. Our 2021 baseline mean of 14.0 weekly physical restraint events per 100 MBU patient-days dec...
Multidisciplinary huddles that facilitated daily deescalation planning safely reduced the frequency and duration of physical restraint events in the MBU....
To determine what patient characteristics were associated with the application of physical restraints in our emergency department (ED)....
This was a retrospective analysis of encounters in the ED of an urban, Level I academic trauma center. We included ED encounters of adult patients (aged ≥18 years) during a 5-year period starting in 2...
There were 464,031 ED encounters during the time period from 162,244 unique patients, including 34,798 (7.5%) with restraint application, comprising 18,166 unique patients. Several variables were asso...
Drug and alcohol intoxication were most closely associated with restraint. Encounters in which the patient was American Indian had higher odds of restraint, but this study does not replicate prior fin...
Physical restraints and hand restraints are used in medical settings to provide protection and control. However, few studies have investigated their use among community-dwelling older adults. The stud...
This cross-sectional study recruited 128 older adults receiving home care services and with catheters. Data were collected regarding demographic characteristics; activities of daily living (ADLs); mus...
Among the participants, 76% experienced the use of physical restraints, and 34% experienced the use of hand restraints. The variables related to physical restraints were ADLs (adjusted odds ratio [AOR...
The use of physical restraints among older adults with catheters may be affected by their functioning in ADLs and the presence of paid caregivers to ensure their safety. Thus, implementing interventio...