restraints
A physical restraint is "any manual method or physical or mechanical device, material, or equipment attached or adjacent to the resident's body that the individual cannot remove easily that restricts freedom of movement or normal access to one's body. It is the effect on the resident, rather than the name or intended use that determines whether or not it is classified as a restraint device.
As many as 200 deaths occur every year as a result of strangulation or suffocation from restraints and an estimated 47% of older patients fall and sustain injuries while in physical restraints. Restraints have many negative side effects and risks that far outweigh benefits from their use. Benefits of refraining from the use of restraints include improvement in quality of life, greater autonomy, reduction in use of anti-psychotic medications, less skin breakdown and a reduction in serious injuries due to falls.
The Centers for Medicare & Medicaid Services (CMS) is committed to reducing unnecessary physical restraint use in nursing homes and ensuring residents are free of physical restraints unless permitted by regulation.
Masspro is partnering with a select group of Massachusetts nursing homes to improve the safety of its residents through the reduction and elimination of physical restraints.
Specifically, Masspro Performance Improvement Advisors provide the following services:
Conduct consultative visits to assess current practices and strategies Promote use of multidisciplinary frontline teams to lead improvement work Provide tools, resources and technical assistance in implementing best practices related to physical restraint reduction and elimination Promote collaboration, sharing and problem solving among participating nursing homes through conference calls, email discussions and participant meetings Assist facilities in performing a staff culture of safety survey and target improvements for identified safety culture gaps Encourage measures that address culturally appropriate care and healthcare disparities
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