Restraint reduction program for stroke patients Assignment

Restraint reduction program for stroke patients - Assignment Example in Amato, Salter, &Mion, 2006, p.237). In this paper, I shall put forward a prospective Quality Improvement program – a multi-component Restraint Reduction Program (RRP) for the stroke rehabilitation unit in our hospital as part of my effort to enhance patient outcomes over here. Emergency cardiac and stroke attacks have become the third major cause of hospitalization and death after cancer and heart disease in America. It has been reported that 8, 00, 000 Americans become the victim of stroke every year which calculates to an average of one American suffering from a stroke every 40 seconds. In fact, stroke accounts for 1, 40, 000 deaths every year and the reason behind other 1, 00, 000 deaths each year in this country. Stroke patients generally suffer a sudden loss of brain abilities such as loss of consciousness, change in behavior, disorientation, dizziness, trouble in moving hands, arms, and legs, difficulty in talking, understanding, or, severe headache. Stroke patients i n acute care settings generally have a high risk of falling or agitated behavior which needs to be handled appropriately. The stroke treatment procedures necessitate every health care provider to identify potential stroke patients and have specialized knowledge, practical experience and the required tools for treating them efficiently. Moreover, it has become urgent for every health care center and acute rehabilitation unit taking care of stroke patients to be equipped with the essential services, techniques and workforce for providing the best treatment (Katz, n.d). For the purpose of enhancing the treatment, I would like to introduce a QI program – a multi-component Restraint Reduction Program in one of our acute rehabilitation unit, the stroke unit. Physical restraints have been constantly used by nurses in acute stroke care settings to avoid falls, to control agitation and to handle impulsive behavior. Although physical restraints have been found to be beneficial, their a dverse effect which may even include death of the patient is a matter of concern. According to various studies, restraint reduction programs have been successful in decreasing restraint use along with maintaining patient safety of stroke patients in both acute care and long term settings (Amato, Salter, &Mion, 2006, p.235). The basis of this QI program, RRP, will be the implementation of a multi-component intervention strategy which could greatly reduce the use of physical restraints and decrease fall rates through a secure and successful approach in the stroke rehabilitation units. The primary aim of the RRP will be to lower restraint use by 25% and to sustain fall rates lesser than 10% above the baseline. The interventions in the RRP were adopted from successfully employed restraint programs in different acute care settings. For the purpose of execution, a planning committee will be formed which will include clinical nurse specialists, unit nurse managers, nurse patient-care coord inators, physiotherapists, occupational therapists and the staff nurses. To achieve the set target, this plan will be primarily including four main arenas – administrative support, education, consultation and feedback (Amato, Salter, &Mion, 2006, p.236-237). Administration Before the execution of the program, it is

Juvenile delinquency Assignment Example | Topics and Well Written Essays - 250 words

Juvenile delinquency - Assignment Example Girls are also expected to refrain from fighting or engaging in other such unladylike behaviors. These behaviors, to a large extent, affect how boys and girls will behave when they are adults (Parker, 76). While there are a number of men that have psychopathic personalities, the vast majority of criminals became that way because they were influenced by an erroneous view of what represents true masculinity back in their impressionable childhood years. The effect of single motherhood on teenage delinquency. Children who grow up in homes where only the mother is present are usually confronted with conflicting feelings that they may not have the mental capacity to solve. In addition, there is less parental supervision of their activities because their mothers are usually too busy trying to provide for them to adequately supervise them. This means that they are presented with more opportunities to engage in delinquent behaviors. It is also a fact that single parents try to befriend their children and unintentionally use them as supporters instead of acting as parents and disciplining them when the need arises. This means that even when they have the chance to, they are not likely to reprimand their children for wrong or irresponsible behavior because they want their children to like them so