A Restraint Alternative

·        Product Description

This is a net enclosure system engineered with nylon and a metal frame.

The frame telescopes to fit any doorway. It can be used with most standard hospital beds and many twin bed frames with removable headboard.

·        Product features

Provides the patient with safety, comfort, and a sense of security. It permits patient freedom of movement while granting complete access to one’s body within a secure environment. It instills peace of mind in the caregiver and is a low cost alternative to providing around the clock caregiving.

·        Diagnostic Considerations

The following diagnoses are appropriate to evaluate for possible use of the Enclosure: Alzheimer’s, ARD, Dementia, TBI, Huntington’s, Seizure Disorders, Developmental Disabilities, spasms and “Head Banging Syndrome”.

·        Contraindications

The enclosure is NOT recommended for use with highly agitated, aggressive or violent patients and should
not be used for incarceration.

·        Guidelines for Use

Additional surveillance is recommended, a prescription is required. Checks for adequate nutrition, hydration, and elimination must be frequent.

·        Definition of Restraint

FDA= device attached to individual. HCFA= device attached to or adjacent to which prevents access to one’s body. JCAHO= “Technically, a bed is neither purely a restraint nor a form of seclusion, however, a bed enclosure does restrict a person’s freedom to leave the bed and as such, would fall somewhere between a restraint and seclusion.” It is the manufacturer’s opinion that this is a restraint alternative.

·        Behaviors for evaluation

The following occurrences should be evaluated for use of the SSE: potential for falls, diminished comprehension, nighttime wakefulness, sleep walking and wandering, seizure disorder, uncontrolled muscle movement.

·        Facts about restraint

Studies show that falls are more frequent with use of traditional restraint. Facilities are liable when restraints are used for convenience rather than medical reasons. Many facilities have reduced restraint use without increases in either staffing or patient injury.

·        The Dartmouth Study

This study of enclosure beds showed: no falls, decreased agitation, decreased medication requirement, and patient and family acceptance of the enclosure.

·        Fall Intervention

In conjunction with nighttime use of the SSE, identifying risk through patient assessment is essential including medication evaluation, physical environment, and careful supervision. Encouragement of mobility reduces risk considerably.

·        Conditions