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• Presentations from January 17, 2008 Restraint Forum
• Presentations from
May 15, 2006 Restraint Forum
Tranforming Practice: The Restraint Dilemma
January 17, 2008
This forum was held as follow up to the education forum held in May 2006 that highlighted the challenges and issues related to restraint use across various organizations. This Restraint Resource Guide was developed to provide information and education about the use of restraints and prompted various responses within organizations to address their unique needs.
The following presentations were made at the January 2008 forum:
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Seek First to Understand: Creating a Cultural Transformation to Support a Least Restraint Environment — Tiziana Rivera, Health System Manager, Seniors' Health Program & Geriatric Mental Health Ambulatory Program, Trillium Health Centre
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Sustaining a Least Restraint Environment: Findings from RNAO Advanced Clinical Practice — Farah Khan Choudhry, Staff Nurse, Trauma Unit, Sunnybrook Health Sciences Centre; and Catharine Morash, Advanced Practice Nurse, Trauma and Critical Care Program, Sunnybrook Health Sciences Centre
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Best Practice in the Management of Complex Behaviours in Patients with Acquired Brain Injury — Nancy Boaro, Advanced Practice Leader, Neuro Rehab Program, Toronto Rehab
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Restraint Resource Guide — Judy Moir, Executive Director (Acting), Toronto ABI Network
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The Restraint Dilemma: Facilitating Transitions from Acute Care to Rehabilitation
May 15, 2006
A coordination and access issue was identified related to an apparent increase in the number of ABI clients with restraints or constants who are being referred to rehab. In response, the Network conducted a review of the number of referrals received over a six-month period and found that 38% of individuals required restraints at the time of referral.
The nee for restraints resolved in a majority of cases, but in some, the use of restraints resulted in a delay in transfer and is considered a barrier to the smooth transition into rehabilitation.
The Toronto ABI Network brought together a group of stakeholders on May 15, 2006 to discuss this issue and collectively identify solutions. Over 60 participants from across the continuum of care attended the event.
The following presentations were made and formed the basis of the discussion and problem solving:
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Challenges in Acute Care — Catharine Morash, Advanced Practice Nurse, Sunnybrook Health Sciences Centre
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Cruel Compassion: The Use of Restraints for the Acquired Brain Injury Patient — Linda Yetman, Nursing Practice and Education, Sunnybrook Health Sciences Centre
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Ethical Considerations Regarding the Use of Restraints — Karen Faith, Clinical Ethicist, Sunnybrook Health Sciences Centre
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The Restraint Dilemma: Challenges and Solution — Theresa Cook, CNS/NP, Trauma and Neurosurgery, St. Michael's Hospital
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The Restraints Dilemma - Jacqueline Wiley, Service Coordinator, Neurorehabilitation Program, Toronto Rehab [presentation not available] |
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