The Manual defines physical restraints (3-198) as "any manual method or physical or mechanical device, material, or equipment attached or adjacent to the resident's body that the individual cannot remove easily which restricts freedom of movement or normal access to one's body."  It goes on to describe the process.  Have you walked yourself through this process and asked yourself the questions posed here?  "The assessor should not focus on the intent or reason behind the use of the device, but on the effect the device has on the resident."
Also, please see the bottom of page 201 "Bed Rails Used as Positioning Devices."  From your description, it doesn't sound like she can easily remove the rails.
 
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Sent: Tuesday, February 10, 2004 10:43 AM
To: [EMAIL PROTECTED]
Subject: PADDED SIRERAILS

Does anyone knows if 1/2 padded siderails for safety is considered a restraint? Patient has dementia, very restless and has a tendency to hit her head on the rail. Thank you. 

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