Individualized care alternatives used in the process of removing physical restraints in the nursing home.

Individualized care alternatives used in the process of removing physical restraints in the nursing home. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Individualized care alternatives used in the process of removing physical restraints in the nursing home. Abstract Text:

OBJECTIVE: To describe the individualized care alternatives used during the process of removing physical restraints in a nursing home. DESIGN: Descriptive survey. SETTING: A non-profit geriatric long-term care facility. SUBJECTS: Sixty-three physically restrained residents (mean age = 85.3 years). MEASURES: Information regarding the different care alternatives used to replace physical restraints was obtained from the Gerontological Clinical Nurse Specialist implementing the process of removing restraints. RESULTS: The physical restraints of six of the 63 participants were removed without implementing any care alternative. With the remaining 57 participants, an average of 3.3 different care alternatives were used (range 1-7 care alternatives). Environmental alternatives (such as wheelchair adaptations and alternative seating) were used with 86% of the restrained residents; alterations in nursing care (such as additional supervision and toileting schedules) were used with 77% of the participants. Psychosocial and physiological alternatives, as well as the use of structured activities, were used less frequently. At the end of the study period, five residents remained restrained. CONCLUSIONS: This papers shows the complexity of the process of removing physical restraints in the nursing home. The need of an individualized approach is stressed.

Individualized care alternatives used in the process of removing physical restraints in the nursing home. Publishing Authors By Initials

For similar therapeutics: behavior control: restraint, physical research abstracts see: therapeutics: behavior control: restraint, physical research

PUBMED ID PMID:

MEDLINE DATE:

Individualized care alternatives used in the process of removing physical restraints in the nursing home. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of the American Geriatrics Society

VOLUME: 42

Page Numbers: 321-5

Journal Abbreviation: J Am Geriatr Soc

ISSN: 0002-8614

DAY: 10

MONTH: Mar

YEAR: 1994

Individualized care alternatives used in the process of removing physical restraints in the nursing home. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 7503062

Individualized care alternatives used in the process of removing physical restraints in the nursing home. Keywords Mesh Terms:

KEYWORDS: Restraint, Physical

MESH TERMS:

Chemical & Substance for Abstract: Individualized care alternatives used in the process of removing physical restraints in the nursing home. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Individualized care alternatives used in the process of removing physical restraints in the nursing home.

AFFILIATION: Hebrew Home of Greater Washington, Research Rockville, MD 20852.

Country: UNITED STATES

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: J Am Geriatr Soc

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Individualized care alternatives used in the process of removing physical restraints in the nursing home Related Publications

• Agitated behaviors in the elderly. II. Preliminary results in the cognitively deteriorated.
• Individualized care alternatives used in the process of removing physical restraints in the nursing home.
• Multilingualism and cognitive state in the oldest old.
• Restraint reduction and psychoactive drugs.
• Temporal patterns of agitation in dementia.
• The Maryland patient plan of care form: perceptions of physicians and social workers.
• To use physical restraints or not.