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This AOTA article defines "restraint", provides information on the role of OT in regards to providing restraint reduction or elimination, and lists common environments where this type of intervention takes place. By assessing what client-centered modifications, as well as environmental modifications, can be made, occupational therapy looks for ways "around" the use of restraints in order to enhance the client's engagement and participation in meaningful occupations.

2000 Nursing Home Ombudsman Agency of the Bluegrass, Inc. Physical restraints are items used to restrict, restrain or prevent movement of a person. Examples of restraints include belts, vest restraints, cuffs and sometimes special chairs or bed siderails. Whether or not a particular item is considered a physical restraint depends on the purpose and effect of its use.

This is a good website that provides alternative to restraints for patients with cognitive impairments, physical impairments, seating and positioning needs, and for agitation and wandering.

This article lays out, very clearly, the definitions and examples of restraints. They give easy-to follow directions in assessing whether or not a restraint is necessary. I felt this information will be helpful in my position as a COTA.

I found this article very educational, because it gives us a case study. Sometimes restraints can have opposite effects on the intended purpose. Ignorance about danger of restraints can lead to injuries or deaths.

This article pin points some of the key reasons restraints may be used and offers alternatives. It also offers characteristics or behaviors to watch out for in order to prevent the need of restraint.

Very creative way of not having to use restraints.

Physical restraint reduction was associated with significant reduction in average length of stay in convalescent medical wards, especially in the cognitively impaired patients.

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Bed Rail Entrapment Statistics Today there are about 2.5 million hospital and nursing home beds in use in the United States. Between 1985 and January 1, 2009, 803 incidents of patients* caught, trapped, entangled, or strangled in beds with rails were reported to the U.S. Food and Drug Administration.

Abstract: Four hundred twenty-one consecutive patients admitted to an acute general medical ward and two acute rehabilitation medical wards were studied to...