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Centre for Policy on Ageing | |
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Risk factors for physical restraint use in nursing homes
— pre- and post-implementation of the Nursing Home Reform Act | | Author(s) | Nicholas G Castle, Barry Fogel, Vincent Mor |
| Journal title | The Gerontologist, vol 37, no 6, December 1997 |
| Pages | pp 737-747 |
| Keywords | At risk ; Mobility ; Restriction ; Patients [nursing homes] ; Law ; United States of America. |
| Annotation | The aims of this study were to identify and compare resident and facility risk factors for the use of physical restraints before and after the implementation of the Nursing Home Reform Act (NHRA) in the United States (US). Data were collected in 1990 and 1993, and represents residents drawn from 268 nursing homes in 10 states. In the 1993 cohort activities of daily living (ADL) scores, cognitive performance scale (CPS) scores, age, use of anti-psychotic medication, a history of falls, and mobility problems were resident-level variables significantly associated with the use of restraints. In the nursing homes, full-time nurse aides and nurses per resident, average occupancy, Herfindahl index, Alzheimer's special care unit, and Medicare reimbursement policy were variables significantly associated with the use of restraints. However, only three risk factors were significant when the cohorts were compared. The study concluded that the NHRA may have been successful in reducing the use of physical restraints, but that it has had less impact on the types of residents who are restrained. |
| Accession Number | CPA-980309404 A |
| Classmark | CA3: C4: 5RC: LHB:LF: VR: 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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