Which type of restraints may not be used in nursing homes?

In nursing homes, the use of locked restraints is prohibited due to ethical considerations and regulations that prioritize resident safety and dignity. Locked restraints are defined as devices or strategies that restrict a resident's physical freedom and cannot be released without a key or other means. Their use raises significant concerns about patient autonomy, potential for abuse, and the overall rights of residents.

Regulatory standards, including those set forth by the Centers for Medicare & Medicaid Services (CMS), emphasize that any form of restraint should only be used as a last resort and must be employed in a manner that respects the residents' rights. The intention behind these regulations is to create a care environment where residents feel safe, protected, and free, while minimizing risks associated with restraint use.

While physical restraints (like belts or vests) may still be used under strict guidelines, along with mechanical and chemical restraints, the categorization of locked restraints makes them particularly unacceptable due to the serious implications they have on resident independence and wellbeing. This understanding reflects a broader shift in care practices, focusing on less restrictive alternatives and individualized care plans that promote dignity.