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    RESTRAINTS-WPS Office

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    Indra Kumar
    Restraints are used to limit a child's movement to facilitate examinations, procedures, or prevent injury. The document defines several types of restraints including jacket, mummy, elbow, extremity, abdominal, and mitts restraints. Key points are that restraints must be applied correctly to avoid circulation issues or skin irritation, and the child's position and restraints should be checked regularly.

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    RESTRAINTS-WPS Office

    Uploaded by

    Indra Kumar
    77 views3 pages
    Restraints are used to limit a child's movement to facilitate examinations, procedures, or prevent injury. The document defines several types of restraints including jacket, mummy, elbow, extremity, abdominal, and mitts restraints. Key points are that restraints must be applied correctly to avoid circulation issues or skin irritation, and the child's position and restraints should be checked regularly.

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    Restraints are used to limit a child's movement to facilitate examinations, procedures, or prevent injury. The document defines several types of restraints including jacket, mummy, elbow, extremity, abdominal, and mitts restraints. Key points are that restraints must be applied correctly to avoid circulation issues or skin irritation, and the child's position and restraints should be checked regularly.

    Copyright:

    © All Rights Reserved
    Download as TXT, PDF, TXT or read online from Scribd
    Download as txt, pdf, or txt
    77 views3 pages

    RESTRAINTS-WPS Office

    Uploaded by

    Indra Kumar
    Restraints are used to limit a child's movement to facilitate examinations, procedures, or prevent injury. The document defines several types of restraints including jacket, mummy, elbow, extremity, abdominal, and mitts restraints. Key points are that restraints must be applied correctly to avoid circulation issues or skin irritation, and the child's position and restraints should be checked regularly.

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    © All Rights Reserved
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    RESTRAINTS

    INDRODUCTION- The terms "restraint", "therapeutic holding", "clinical holding", and


    "immobilisation" are all used when referring to restricting a child's movement.
    Psychologically long periods of restraints may result in the child's inability to
    develop motor and sensory contact with the surrounding environment.

    DEFINITION- Restraints is a means of limiting physical movement of the child to


    facilitate examination, do a procedure or to prevent injury to the child.

    PURPOSES -
    To maintain safety of the child.
    To facilitate physical examination and diagnostic procedures.
    To allow healing of a part due to immobilisation.

    INDICATIONS -
    Uncooperative behaviour of child.
    Less than 4 year of patient.
    Needles phobia and dental phobia.

    CONTRAINDICATION -
    Older child with several behavioral problems.
    Pre existing medical condition or physical disability/limitation .
    Child is too distressed despite adequate prepration.

    ARTICLES -
    Baby blanket or draw sheet
    4"bandages for clove hitch knot
    Cotton pads, restraint cloths with pocket
    Wooden plastic sticks (spatula) to keep in for elbow restraint
    Scissors to cut the bandage
    Jacket for jacket restraint
    Adhesive tape to fix the bandage
    .
    TYPES OF RESTRAINTS -
    1. Jacket Restraint
    2. Mummy Restraint
    3. Elbow restraint
    4. Extremity Restraint
    5. Abdominal Restraint
    6. Mitts Restraint

    1. JACKET RESTRAINT -
    It can be used to help the child remain flat in bed in a supine position to prevent
    the child falling from height.
    The jacket is put on with the strings in the back, so that the child can not reach
    them.
    The main danger of the jacket Restraint is that of strangulation through pressure
    of restraint that has supplied out of place and encircled a child's neck.

    2. MUMMY RESTRAINT -
    When the infant or small child requires short-term restraints for examination or
    treatment of head,neck,jugular venous puncture and during the gastric lavage and
    gavage is done.
    PROCEDURE -
    1. A blanket or sheet is opened on the bed with one corner folded to the center.
    2. The infant is placed on the blanket with the shoulders at the fold and feet
    toward the opposite corner.
    3. With the infants right arm straight down against the body , the right side of
    the blanket is pulled firmly across the infants right shoulder and chest and
    secured beneath the left side of the body.
    4. The left arm is placed straight against the infants side, and the left side of
    the blanket is brought across the shoulder and chest and locked beneath the infants
    body on the right side.
    5. The lower corner is folded and brought over the body and tucked or fastened
    securely with safety pins.
    6. Safety pins can be used to fasten the blanket in place at any step in the
    process.

    Modified Mummy Restraint -


    To modify the mummy restraint for chest examination
    The folded edge of the blanket is brought over the body and each arm and under the
    back
    After which the loose edge is folded over and secured at a point below the chest to
    allow visualization and access to the chest.

    3. ELBOW RESTRAINT -
    This is used to hold the elbow in an extended position,so that the infant cannot
    reach the face.
    It is used in the head and facial surgeries ,cleft palate repair ,skin disorders
    (eczema) or scalp vein needle is in place .
    Equipment -
    A piece of material with pockets to insert the tounge depressors.
    PROCEDURE -
    1. Insert tounge depressors into pockets.
    2. Pad arm with gown / cotton and wrap Restraint around the arm .
    3. Pin it securely.
    4. Do not rub child's axilla or wrist.

    4. EXTREMITY RESTRAINT -
    This may be used to immobilize one or more extremities.
    Clove hitch Restraint is one type of extremity Restraint.
    Equipment -
    3 - 4 feet length of gauze folded lengthwise.
    Padding material.
    PROCEDURE -
    1. To apply the restraint, spread the gauze strip out on the bed with one end
    toward the nearer side of the bed.
    2. In the middle of the strip make a figure of eight.
    3. Place the gauze padding around the infants wrist or ankle as necessary.
    4. Place the circles of the restraint around the padding on the extremity.
    5. Tie the ends of the gauze to the frame of bed.

    5. ABDOMINAL RESTRAINT -
    It helps to hold the child in a supine position on the bed.
    It should be applied with precautions, so that the respiratory movements of the
    abdomen are not inhibited.
    The strip of material is wider and has only one wide flap for fastening around
    child's abdomen.

    6. MITTS -
    Mitts are used for infants to prevent self - injury by hands in case of burns,
    facial injury or operations, eczema of the face or body.
    Mitten can be made wrapping the child's hands in gauze or with a little bag putting
    over the body's hand and tie it on at the wrist.

    KEY POINTS -
    Restraints must be applied correctly to avoid circulating impairment and skin
    irritation.
    Adequately pad the restraint to protect the skin.
    Place the child in correct body alignment.
    Release Restraints every 2 - 3 hours.
    Observe the child when Restraint are released to avoid injury.

    NURSING RESPONSIBILITY -
    Restraint is necessary at time to examination,to facilitate procedure and
    treatment, to protect infant from harm and injury.
    But should not for close observation.
    Explain the restraints purpose both of parents and child, stimulate the baby during
    restraints.
    Restraint put effectively so respiration and circulation dose not interference.
    Restraint must be check every 15 to 30 minute for our purpose and respiration and
    circulation.
    Periodically, at least every 2 hourly the child should be removed from the
    restraint.
    Before the restraint are applied, the child's position should be changed to improve
    physiological function.

    REFERENCES -
    1. 'A Padmaja', " Pediatric Nursing Procedure Manual ", published by Jaypee
    brothers medical publishers (P) LTD New Delhi page no. - 82 - 87.
    2. 'Annamma Jacob, Rekha R, Jadhav Sonali Tarachand ', " Clinical Nursing
    Procedure: The Art Of Nursing Practice " , 3rd edition, published by Jaypee
    brothers medical publishers (P) LTD page no. 133 - 136.
    Net references -
    1. https://www.slideshare.net
    2. https://en.m.wikipedia.org

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