Physical Restraint Use On Elderly Essay - 851 Words

Physical Restraint Use on Elderly in Long-Term Care Facilities A. Introduction a. Attention Getter: i. â€Å"My interest is in the welfare of the community. I ease the way of the cripple. I am compassionate of the aged. My exultation is in the strength of mankind. I teach. I lead. I serve.† In 1920 the American Red Cross printed their creed in newspapers around the country. b. Introduce Topic: In 1987 President Ronald Reagan passed the Federal Nursing Home Reform Act. This Act, also known as the Omnibus Budget Reconciliation Act (OBRA), brought reform and a set of standards of care for people living in certified nursing facilities. (Hollis) Included in these set of standards, is the â€Å"Resident’s Bill of Rights†, which states that residents of nursing facilities have â€Å"The right to be free from †¦ any physical or chemical restraints imposed for purposes of discipline or convenience and not required to treat the resident’s medical symptoms†. (U.S. Code Title 42 Chapter 7) i. Despite these â€Å"rights† nurses in the United States and around the world still use restraints stating the main reason is for patient safety. ii. Falls are the leading cause of emergency room visits and unintentional death in Americans 65+ years old. (Centers For Disease Control Prevention) iii. c. Background Information: A physical restraint can be defined as â€Å"any manual method or physical/mechanical device, material, or equipment attached or adjacent to the resident’s body that the individual cannotShow MoreRelatedDifferences in the Use of Physical Restraint for the Elderly and the Risk Factors of Falls1935 Words   |  8 PagesFalls and physical restraint use are a common practice in the care of the elderly and many efforts have been made to decrease this practice. Falls and injuries associated with restraint usage are a major issue because of their adverse outcome on mortality and morbidity. Prevention of falls and injuries is the most common reason fo r mechanically or physically restraining the elderly in healthcare facilities (Arbesman Wright, 1999). Its use has, conversely, been examined both from an ethical perspectiveRead MorePhysical Restraints And Nursing Homes : Clinical Ethical Considerations By Chris Gastmans And K Milisen1096 Words   |  5 Pagespurpose of this essay is â€Å"Use of physical restraints in nursing homes: clinical-ethical considerations† by Chris Gastmans and K Milisen. The ethical dimension of care is an essential part of good nursing practice, and ethical reflection is necessary for nurses to come to thoughtful and balanced decisions. Critical reflection on what constitutes good care is required in everyday care, but even more so in ethically charged situations such as those requiring physical restraint (Goethals, Casterle GastmansRead MoreFreedom Vs. Control Essay896 Words   |  4 Pagescareers. In nursing ethics patients have an inherent right to physical autonomy wherever possible, and this includes a human rights and the need to allow informed consent. The law of informed consent implies the notion of autonomy, or patient freedom. Patient restraints are a huge ethical issue in nursing. Many people believe it is a cruel and unusual punishment. However, restraints can be very beneficial if used in the correct way. Restraints may be used for those who at risk to harm themselves, otherRead MoreGerman and Norwegian Elderly Care Essay1399 Words   |  6 PagesGerman and Norwegian Elderly Care Key words care users, care workers, formal and family care provision, access to health care, barriers to health care, uninsured elderly, retirement homes Our elderly should be afforded the best possible care. This care should not only be financial but mentally and emotionally as well. They may not be able to care for themselves, but they have paid their dues, and took care of us now its our turn to take care of them. We were born into this world defenselessRead MoreRestraints Review Of Qualitative And Quantitative Studies1517 Words   |  7 PagesRestraints Review of Qualitative and Quantitative studies The purpose of this paper is to critique the research article, Mohler Meyer’s â€Å"Attitude of nurses towards the use of restraints in geriatric care: A systemic review of qualitative and quantitative study 2014. The incident I am going to discuss in this paper is of Mr. P., an 85-year-old man, admitted to this facility about 4 months ago. His history includes coronary heart disease, cataract, dementia, hypertension, macular degeneration andRead MoreIs Abuse A Nursing Homes? What Are The Warning Signs?951 Words   |  4 Pages What is abuse in nursing homes? What are the warning signs? How did abuse in nursing homes start? To begin, there are different types of abuse such as: emotional, sexual, neglect, financial and physical abuse. Next, the warning signs of any type of abuse are tension between the elderly and changes in behavior. Finally, nursing homes have a long history of abuse, but because of laws and regulations there has been less cases than in the past. In conclusion, abuse in nursing homes can be avoided byRead MoreUse Of Restraints And Its Ethical Implications1652 Words   |  7 PagesThe use of restraints, and its ethical implications, has been an ongoing controversy for several years; during the research process this author found articles that dated back as far as 1963. It is necessary to ensure patient safety and positive outcomes of treatments, but not at the detriment of the patient. Several studies have documented increasing poor patient outcomes directly related to the use of restraints ; some examples include, difficulties with balance and gait, skin breakdown, furtherRead MoreLack of Exercise May Cause Falls in the Elderly1903 Words   |  8 PagesCause Falls in the Elderly Problem Section Falls are a major source of death and injury in elderly people. For example, they cause 90% of hip fractures and the current cost of hip fractures in the US is estimated to be about 10 billion dollars (Kato, Izumi, Hiramatsu, Shogenji, 2006). Ensuring patient safety is one of the main reasons given for use of restraints. However, according to Jech (2006), the use of physical restraints is unlikely to prevent falls. Physical restraints, such as tie-downRead MoreThe Use of Physical Restraint Essay1782 Words   |  8 PagesThe use of physical restraint is quite common among caregivers in health facilities when dealing with geriatric patients. Yet this topic is one of the most debated issues in healthcare and medicine. The purpose of medical restraints is to prevent patients from harming themselves or those around them. It seems to be a simple solution and panacea for unruly patients who needs to be treated. However, ethical implications surround its usage as the practice of physicall y restricting people strips themRead MoreWhat Are Elder Abuse?896 Words   |  4 Pagesact or a lack of action that results in harm, physical pain, impairement or loss in an older person. Abuse can take many forms such as withholding food, water, care, medication and shelter, isolating and restraining the elderly without medical reasons, it can also be intentional or unintentional neglect. 2. What are the recognized types of elder abuse? a. Physical abuse – use of intentional force that cause pain, injury or impairement in the elderly. It includes but not limited to violence such

Should Sikh Children Be Allowed To Wear A Kirpan In School Free Essays

Despite that they are Sikh and it’s their own religion, allot of Sikhs would still argue that they shouldn’t bring it in. One Of the reasons is that they do not fully understand what it means and what it is used for, there for they would not weir it. Another reason being that they don’t have to bring a knife in to show that they are a part of their religion; they could wear a badge instead. We will write a custom essay sample on Should Sikh Children Be Allowed To Wear A Kirpan In School or any similar topic only for you Order Now This would show everyone that they are Sikhs without the hassle of bringing a knife. For-non Sikh Non Sikhs that would argue for it being allowed would usually say if its apart f their religion, let them wear it. They also might argue that it is not sharp another to hurt anyone unless used with allot of force. And they say that Sikhs would not even get it out for it to be used. As well as not being used it is also not noticeable to anyone as it is usually hidden away under their cloths. Against-non Sikh Non Sikhs could argue that it is bad for Sikhs to bring a Korean in because it could scare other people. It could also be stolen and then used. Non Sikhs could argue that if Sikhs get to bring knives in for protection other people loud start bringing in knives too. They also think that in schools there is a rule that no knives must be brought into school no matter what, a Korean is a knife Personal opinion personally think that the Korean should not be brought into school because it is a knife and knifes are not allowed in school. If they want to respect their religion they can wear a badge instead. People could also be afraid of the person using it and not want to get on their bad side. Also if it is stolen it could be used to hurt someone with. How to cite Should Sikh Children Be Allowed To Wear A Kirpan In School, Papers

Problems and Prospects of Banking Industry in Bangladesh free essay sample

Problems and prospects of banking industry in Bangladesh The central bank has finally approved nine more banks in addition to existing 47 commercial banks in Bangladesh. Three new NRB commercial banks, sponsored by non-resident Bangladeshis (NRBs), and six private commercial banks (PCBs), have been approved aiming to help boost the inflow of foreign exchange and strengthen the ongoing financial inclusion programmes through bringing unbanked people under the banking network respectively. The letters of intent (LoIs) `have already been issued to the sponsors of such approved banks. There have been many significant developments in the economy of Bangladesh since 2000-2001, the central bank stated, explaining the economic context and rationale behind issuing licences in favour of new banks. The economy has grown and the banking system has become more competitive but there are still a large number of under-banked people in Bangladesh. Recent estimates from a survey conducted by the Institute of Microfinance (IoF) found that only 45 per cent of the nearly 9000 households surveyed do have access to banks and micro-finance institutions (MFIs) for loans. We will write a custom essay sample on Problems and Prospects of Banking Industry in Bangladesh or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The population per branch (21065) and the ratio of loan accounts per 1000 adults (42yrs) suggest that the outreach of the formal financial sector in Bangladesh is lower than that in India (14485 and 124 respectively) and Pakistan (20340 population per branch and 47 loan accounts per 1000), according to the statement of IoF. Bangladesh Bank assumes that the new banks will help increase the quality of banking services by increasing competition in the banking sector. They will also be able to meet the unfulfilled demand for credit by the private sector whose needs have grown in line with a fast expanding economy. The central bank noted that, for new banks the ratio of opening rural and urban branch will be 1:1 which will help increase bank branches in rural areas and improve financial inclusion. But the home truth is; no bank can expand in the rural areas before concentrating and making business in urban areas. Earlier, the issue of granting licenses to new banks caused many to raise their eyebrows. Questions were being asked by authentic experts, bankers and people even on the board of directors of the central bank about the wisdom of allowing more banks, a sector that had been struggling hard to cope with the problem of liquidity shortage for years together. The banking sector is already saturated with 47 commercial banks. There was no logic to allow new banks at this moment of the country. The new comers will create an unhealthy competition in banking services, affect stability of the sector and cause profitability of the existing banks to suffer. The entry of more banks will trigger a flight of huge fund including Tk 36. 00 billion from existing banks to place as paid-up capital against new banks; this will lead to further deteriorations of the stringent situation already prevailing in the banking sector. The similar incident will take place for quality employees of the existing banks. All these will lead to a greater mismatch between their credit and deposit ratio and acute shortage of good bankers. The banks will be forced to go for risky investment after collecting deposit at high rate from an already saturated market. It will seriously affect the overall bank- business and the industry as well. Banks are to facilitate all kinds of economic activities and finance many other needs of the people, in both urban and rural areas. But overcrowding of the banking sector is not at all desirable as this, instead of meeting those objectives, would create problems for the sector itself, particularly the existing operators in the sector. This might even adversely impact the vital sectors of the economy in the process. It was unlikely that the board of directors of Bangladesh Bank were not aware of that fact. Yet they were trying to select the right ones since the government is unrelenting in its decision to allow new banks. Opening up of new banks on political consideration, as reported time and again, may reduce the confidence of the clients in banks as well as impair the management quality of the overall banking sector. Meanwhile, some speculators state that as soon as new banks kick off their operations a heavy pressure on deposits of existing banks would be exerted. The latter are likely to see a flight of deposits while their existing loan liabilities including non-performing loans (NPLs) will remain at an unchanged level. This is likely to cause a mismatch between their deposits and outstanding amount of credits or loan portfolio. Now that the central bank already approved new banks and issued the LoIs, it will be just beating about the bush to say anything to the contrary. Rather, now it is better to design how all these banks can be managed smoothly. In this regard the following measures may be implemented: * The new banks should introduce new and innovative services and should scale up their products for the sake of making the government decision meaningful. There is no denying that the quality of the sponsors largely influences the quality of operation of banks as such sponsors play an important role in the decision-making. So, the central bank will have to closely examine the track records of the sponsors and it must not give in to political pressure of any sort on this issue. The quality of the bank directors should be maintained scrupulously. * The central bank may concentrate its attention on the colour of money of the proposed directors who will be investing as the paid-up capital. The central bank must have to play the role of a watchdog in case of shopping the investment clients of new banks from existing banks by approving the higher limit then the present outstanding. The central bank must have to be vigilant in examining the proposed investment clients of new banks, particularly those whose cases have to be rescheduled. Getting rescheduled, the sick clients in the existing banks become very much performing in new banks for the time being in the backdrop of opening new banks in the market. The central bank needs to require to consider several other issues, prior to giving effective permission to new banks, including ownership quality. The vital issue that deserves priority attention of both central bank and the government is better banking coverage of the hitherto neglected rural areas. The new banks may be asked to serve the rural people extensively. * On the top of everything, both the central bank and the government will have to ensure the entry of stronger players in the banking arena and keep close watch on the effects of such an entry on the overall banking industry. The Bangladesh Bank and Bangladesh Institute of Bank Management (BIBM) have to take preparation on structuring the banks by training up the bankers. Because market will be oversaturated as soon as the new banks start operations. The precipitations of banks may appear at the bottom of the banker of banks in Bangladesh. Time has arrived; the possibility of merger of weak banks cannot be laughed away. Still we hope for the best. The newly approved three NRB commercial banks namely, NRB Commercial Bank Ltd, NRB Bank Ltd and NRB Bank Ltd will bring USD150. 0 million as paid up capital of the non-resident Bangladeshis (NRBs).