Restraints carry serious risks and are tightly controlled. Modern care follows a "least-restraint" philosophy, and the exam tests whether you understand it.
What Counts as a Restraint
A restraint is anything that limits a person's free movement — physical (belts, vests, bed rails) or chemical (medication used to control behaviour). Even a tray locked onto a chair can be a restraint.
The Least-Restraint Philosophy
Restraints are a last resort, used only when there's a real safety risk, only with a doctor's order, and only after alternatives have failed. They're never used for staff convenience or punishment.
Try Alternatives First
- Find and fix the cause of the behaviour.
- Increase supervision or move the client closer to staff.
- Use alarms, lower beds, and good lighting.
- Offer activities, comfort, and toileting routines.
If a Restraint Is Used
- Use the least restrictive option ordered.
- Check the client frequently (per policy).
- Release regularly for movement, toileting, and circulation.
- Watch for injury, breathing problems, and distress.
- Document everything.
🔑 Key Takeaways
- A restraint limits movement — physical or chemical.
- Restraints are a last resort, need an order, never for convenience.
- Always try alternatives first.
- Check often, release regularly, and document.