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Centre for Policy on Ageing | |
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| Physical restraint initiation in nursing homes and subsequent resident health | | Author(s) | John Engberg, Nicholas G Castle, Daniel McCaffrey |
| Journal title | The Gerontologist, vol 48, no 4, August 2008 |
| Pages | pp 442-452 |
| Source | http://www.geron.org |
| Keywords | Mobility ; Restriction ; Ill health ; Residents [care homes] ; Nursing homes ; Correlation ; United States of America. |
| Annotation | It is widely believed that physical restraint use causes mental and physical health decline in nursing home residents. This research examined whether physical restraint initiation is associated with subsequent lower physical or mental health with 12820 residents in all 740 nursing homes in Pennsylvania in 2001. The Minimum Data Set (MDS) data, Online Survey Certification and Reporting data, and the Area Resource File were used as data sources. The sample was restricted to newly admitted nursing home residents who were not restricted in the first two quarters of their residency. The authors examined which facility and individual characteristics during these first two quarters were associated with restraint initiation during the third quarter. They then examined the association of third-quarter restraint initiation with fourth-quarter health outcomes, using regressions that controlled for first- and second-quarter health status as well as other resident facility and market characteristics. The physical health outcomes examined were falls, walking dependence, activities of daily living (ADLs), pressure ulcers, and contractures. Mental health outcomes examined were cognitive performance, depression, and behaviour problems. Initiation of restraint use was associated with a previous fall, psychoactive medication use, low cognition scores, and absence of pressure ulcers, as well as various facility characteristics. Subsequent to restraint initiation, an association was found with lower cognitive performance, lower ADL performance, and higher walking dependence. Thus, a substantial association exists between restraint initiation and subsequent adverse health consequences. (RH). |
| Accession Number | CPA-080929202 A |
| Classmark | C4: 5RC: CH: KX: LHB: 49: 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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