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The following is true about the use of side rails:

A. side rails should be up for all residents
B. side rails should be kept down for all residents
C. consult the care plan to see if side rails are indicated
D. the resident always determines if the side rails are used

1 Answer

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Final answer:

The use of side rails in a healthcare setting should be based on the resident's individual care plan (option C) rather than being universally applied or avoided. Care plans consider unique health needs and risks, balancing safety with autonomy and dignity.

Step-by-step explanation:

The question addresses the topic of patient care in a healthcare setting, specifically about the use of side rails for residents or patients. The correct statement among the provided options is C: consult the care plan to see if side rails are indicated. This response emphasizes that the use of side rails should be based on individual assessments and the specific needs of residents as documented in their care plans. While it might seem more protective to always have side rails up, it is crucial to consider the risks and benefits for each individual.

In many healthcare settings, side rails are used as a preventative measure against falls for patients with mobility issues, cognitive impairments, or other conditions that increase their risk of falling. However, unnecessary use of side rails for every resident can lead to feelings of restriction, affect the resident’s dignity, and may even increase the risk of injury if the resident attempts to climb over them. Thus, it is not accurate to assert that side rails should be up for all residents (statement A) or kept down for all residents (statement B).

The use of side rails is not solely the resident’s choice either (statement D). While patient or resident autonomy is an important aspect of care, safety considerations and medical judgment also play a crucial role in determining the appropriate use of side rails. Therefore, the decision to use side rails should be founded on careful assessment, the recommendations of healthcare professionals, and alignment with the care plan developed for the resident.

The care plan is a detailed document prepared by healthcare professionals that outlines the individual needs and treatment for a specific patient or resident. It takes into account medical history, current health status, diagnoses, and treatment goals. For the use of side rails, the care plan should specify when and how they should be employed to align with the patient’s best interests and safety requirements. Following the care plan ensures that interventions like side rails are used appropriately and effectively.

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