What must a facility ensure regarding restraints used on residents?

A facility must ensure that restraints are avoided unless necessary. The primary emphasis in nursing care, particularly in long-term care settings, is on the dignity and autonomy of residents. Restraints can have serious physical and psychological effects on individuals, including increased risk of injury, decreased mobility, and diminished quality of life. Therefore, the use of restraints should be a last resort, only considered when less restrictive measures have been assessed and found inadequate to protect the safety of the resident or others.

The philosophy of care in many facilities stresses the importance of person-centered approaches, preferring interventions that enhance a resident's ability to participate in their own care and make informed choices. Hence, any use of restraints should be guided by a comprehensive evaluation that confirms their necessity rather than routine usage or simply for convenience.

In contrast, frequent use of restraints undermines the goals of promoting independence and self-determination among residents. Therefore, facilities must prioritize alternative behavioral modifications and environmental adjustments to ensure safety and well-being without resorting to restraints unless absolutely required.