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A nurse is caring for a client who has valvular

Dianne has dementia and has come into the residential service after a bad fall at home, resulting in a hip fracture and a long hospital admission with complications. She is frail, very weak and unsteady and has been advised to use a frame to walk. Dianne forgets about the frame, and whenever she wants to go to the bathroom, she gets up impulsively and tries to rush there unaided. She has had two near-miss falls in the service. The staff decide to sit her in a recliner chair to prevent her from walking unaided and falling. The chair is very comfortable, but she is unable to get out of it without assistance. This is a form of mechanical restraint as Dianne is being prevented from moving freely, even though the motivation is safety. It requires assessment, documentation and informed consent according to the principles and the relevant state and territory legislation. Question: What proactive strategies/approaches could be used to eliminate the need to use this restrictive practice with Dianne?

 
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