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Centre for Policy on Ageing | |
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| Predictors of continued physical restraint use in nursing home residents following restraint reduction efforts | | Author(s) | Eileen M Sullivan-Marx, Neville E Strumpf, Lois K Evans |
| Journal title | Journal of the American Geriatrics Society, vol 47, no 3, March 1999 |
| Pages | pp 342-348 |
| Keywords | Mobility ; Restriction ; At risk ; Residents [care homes] ; Nursing homes ; Clinical surveys ; United States of America. |
| Annotation | Of 201 physically restrained residents (mean age 83.9 years) at 3 nursing homes in the Philadelphia area, 135 were still restrained after restraint reduction efforts. Physical restraint use was measured by observation and included any chest/vest, wrist, mitt, belt, crotch, suit or harness restraint, plus any sheet used as restraint or a geriatric chair with fixed tray table. Nursing home residents were subjected to any one of three conditions aimed at restraint reduction, including adherence to the mandate of the Omnibus Budget Reconciliation Act 1987 (OBRA '87), staff education, and education with consultation from a gerontological clinical nurse. Physical dependency, lower cognitive status, behaviour, presence of treatment devices, presence of psychiatric disorders, and fall risk were associated with continued restraint use. Nursing hours, staff mix, prevalence of restraint use by unit, and site were also associated with continued use of physical restraints. Efforts to reduce or eliminate continued restraint use requires greater effort to educate staff in assessing and analysing full risk, along with targeted interventions, particularly where cognition is also impaired. (RH). |
| Accession Number | CPA-001107010 A |
| Classmark | C4: 5RC: CA3: KX: LHB: 3G: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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