In the case of a CVA patient, when should restraints be used?

Restraints are considered a last resort in the care of patients, including those who have experienced a cerebrovascular accident (CVA), commonly known as a stroke. The correct choice emphasizes that restraints should only be used when a patient poses a danger to themselves or others. This aligns with the ethical and legal standards of patient care, which prioritize safety and the least restrictive measures.

Using restraints effectively requires clear justification—primarily that their use is necessary to ensure the safety of the patient or others, and that less restrictive alternatives have been considered or attempted. In the context of a CVA, these patients may exhibit confusion, agitation, or impaired mobility, which could lead to unsafe situations. Thus, careful assessment of the patient's behavior and risks is crucial before restraint application.

Restraints should not be used arbitrarily, such as during transportation, at all times during hospitalization, or while sleeping, as these practices can lead to increased physical harm, emotional distress, and potential violation of patient rights. Ensuring that restraints are only utilized in specific, well-justified circumstances reflects best practices in patient-centered care and helps maintain dignity and autonomy for individuals in healthcare settings.