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Use of constraints and their correlates in Norwegian nursing homes
Author(s)Oyvind Kirkevold, Leiv Sandvik, Knut Engedal
Journal titleInternational Journal of Geriatric Psychiatry, vol 19, no 10, October 2004
Pagespp 980-988
Sourcehttp://www.interscience.wiley.com
KeywordsIndependence ; Restriction ; Electronic alarm systems ; Nursing homes ; Norway.
AnnotationConstraint is frequently used in nursing homes, and most frequently toward patients with severe dementia, aggressive behaviour or low activity of daily living (ADL) function. Primary carers in 222 wards in Norwegian nursing homes were asked about use of constraints towards 1926 patients during 7 days. In all, 758 of the patients were subjected to any constraint. Degree of dementia, aggressive behaviour and loss of function in ADL had significant impact on all types of constraint except for electronic surveillance. The strongest associations were found between degree of dementia and mechanical constraint, impaired ADL and mechanical constraint, and aggression and force or pressure in ADL. Mechanical constraint was used less towards patients in special care units for people with dementia (SCUs), compared to patients in regular units, whereas non-mechanical constraint was more frequently used in SCUs. Type of ward had no significant impact on use of other types of constraints. (RH).
Accession NumberCPA-041209208 A
ClassmarkC3: 5RC: OV:YA6: LHB: 76N

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