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Child rrestraints

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child restrain procedure, types of restrain,mummy jecket,etc..

Publié dans : Santé & Médecine
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Child rrestraints

  1. 1. •A device which limits or prevents freedom of movement”.
  2. 2. • All infants and children have physiologic and psychological needs to be mobile OR movement • Prolonged immobility of children may result in physiological loss of muscular strength and flexibility. It may also affect the physiologic functioning of the body in other way, such as influencing respiratory volume and peripheral circulation. • Psychologically, long prolonged period of restraint may result in the child’s inability to develop motor and psychological skills owing to a lack of motor and sensory contact with the
  3. 3. • 1)To limit the child’s movements during procedure that may harm or injure the baby. • 2)To provide constant immobilization. • 3)To provide maximum human contact by using hand restraints. • 4)To facilitate examination of child or a procedure. • 5)To ensure child’s safety and comfort.
  4. 4. • Used only when necessary and never substitute for observation. • Cannot be used on continuous bases. • If used, reason should be specified and explained to child and parents. • Checked frequently to know not causing any side effects. • Any required knot should be tied in a manner that permits quick release. • Immobile child should be replaced the lost
  5. 5. 1.Mummy Restraints 2.Jacket Restraints 3.ElbowRestraints 4.Extremity Restraints 5.Abdominal Restraints 6.Crib withDomeRestraints
  6. 6. • Mummy restraint and modified mummy restraints (Swaddle) • Jacket restraint • Elbow restraint • Arm and leg restraint--Splints • Extremity restraint(Clove hitch restraint) • Crib and Crib with dome • Mittens • Papoos • Abdominal binders(restraints) • Bed cradle/ Bed with side rails
  7. 7. • PURPOSE • To Immobilize of arms & legs for long period of time. • During Examination & Treatment of head & neck • During puncture of jugular vein • During gastric gavage & lavage • Modified mummy restrain may be used when the child’s chest to be examine
  8. 8. • PURPOSE • To help of the baby remain flat in bed in a supine position • To prevent of the baby falling from high chair • To prevent of the baby up down on cribs Chance of strangulation with jacket restraints
  9. 9. • Disadvantage/Danger:- • Use of a jacket restraint is that of strangulation through pressure of a restraint that has slipped out of place and encircled a child’s neck. • Age group:- Infant and toddler
  10. 10. • PURPOSE • To keep of the elbow in extended position so infant can not reach the face after the surgery of the child’s face & head such as cleft palate repair • During in Eczema & skin disorder • When introduce of the scalp vein
  11. 11. • Purpose • To immobilize one or more extremities • same as elbow restraint • Other points : • Applying on wrist or ankle • 2 inch wide gauze bandage and make figure of 8 then apply on the extremities • In these restraint chance to cutting of circulation so restrained extremities should be examine for coldness and discoloration
  12. 12. • Uses:- • To keep one or both extremity restrained or limited in motion. • Age group:- Neonate/infant/toddler/pre- schoolers • It must be padded to prevent undue pressure, constriction or tissue injury and the extremity must be observed frequently for signs of irritation or impaired circulation. The ends of the restraints are never tied to the side rails, because lowering of the rail will disturb the extremity , frequently with a jerk that may hurt or
  13. 13. • If the infant or toddler is capable of climbing over the crib sides, a crib net or plastic dome may be used to keep the child safely in the bed • Crib net should be tied to the frame. The knot used must be of the type that can be untied quickly in case of an emergency
  14. 14. • 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 hand in gauze or with a little bag putting over the baby’s hand and tie it on at the wrist. • Age group:-Neonate/infant
  15. 15. • Specially used in procedures like exchange blood transfusion, head, chest and abdomen. • A Papoose Board is a device commonly used to immobilize children for dental work, blood-drawing, and minor medical procedures. • The child is placed on a flat board and wide fabric straps are wrapped around the upper body, middle body, and legs.
  16. 16. • This holds the infant in supine position on the bed. It must not be applied so securely that respiratory movements of the abdomen are inhibited. • Age group:- Infant/toddler/pre- schooler
  17. 17. • PURPOSE • To maintain supine position • Other points : • Keep in mind that child respiratory movement of the abdomen are not inhibited
  18. 18. • A small low bed for an infant or a younger child must have high side rails as a restraint, to prevent falling from the bed. • Age group:- Infant/toddler/younger child
  19. 19. • CAR SEAT • Car seat / seat belt can be considered as a restraint.
  20. 20. • Child too distressed despite adequate preparation • Older children with several behavioural problems • Informed refusal by the parents/ gurdian/ child • Pre existing medical condition or physical disability/ limitation • History of sexual or physical abuse that would place the child at greater psychological risk
  21. 21. • Injury to the brachial plexus • Sore or gangrene • Exhaustion • Loss of energy • Dislike for the hospital and health team members • Physiologic loss of muscular strength and flexibility • Psychological hazards and inability to motor and psychosocial skills • Difficulty in developing own body image
  22. 22. • The reason for applying restraints must be explained to both the child and the parents. This may be done through the application of restraints to a doll or a stuffed animal . • While applying the restraint and periodically during the period of restraint, the nurse should talk soothingly to the child to provide stimulation and diversion.
  23. 23. • Sufficient padding must be used under extremity restraints to prevent skin irritation. • The ties on restraints should be attached to the crib frame instead of to the crib rails to prevent traction on the restraint or injury to the child when the crib rail is raised and lowered. • Restraints must be checked every 15 to 30 minutes to determine whether they are achieving their purpose and whether they are constricting the respirations or circulation in any way.
  24. 24. • Explain to parents the need,alternatives,positive and negative aspects of restraints and consequences of not using restraints. • Use the parents’ assistance to obtain the child’s cooperation. • Attempt to find an alternative to using restraints. Some options are- • Increased supervision of child by hospital personnel or parents. • Modifications of the environment • Redirection of the child • Diversionary activities such as television/radio • Preparing the child for a procedure with a simple explanation if developmentally appropriate.
  25. 25. • Restraint is necessary at time to examination, To facilate procedure & treatment, To protect infant from harm or Injury • But should not for close observation
  26. 26.  Explain the restraints purpose both of parents & child. This restraint explain by the procedure & Demonstration on doll or etc..  Stimulate the baby During restraints or give diversion so baby do not feel helpless & loneliness.  Restraint put effectively so respiration and circulation dose not interference.  Sufficient padding must be used under extremity restraints
  27. 27.  The ties on restraint should ne attached to the crib frame instead of to the crib rails to prevent traction on the restraint or injury to the child when the crib rail is raised and lowered.  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 reapplied, the child’s position should be changed to improve physiologic function.