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J Am Geriatr Soc. 1995 Nov;43(11):1264-8.

Can physically restrained nursing-home residents be untied safely? Intervention and evaluation design.

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1
Jewish Home and Hospital for Aged, New York, NY 10025, USA.

Abstract

OBJECTIVE:

To develop an intervention that will enable nursing home personnel to remove physical restraints from nursing-home residents safely and cost effectively.

DESIGN:

A multicenter prospective pre-post study.

SETTING:

Sixteen high-restraint-use nursing homes, four each from California, Michigan, New York, and North Carolina. The 16 facilities have 2075 beds.

INTERVENTION:

A 2-year educational demonstration study, including a 2-day workshop, specially prepared written and video materials, and telephone and on-site clinical consultations. Each nursing home designated a nurse to be the clinical coordinator and to lead a multidisciplinary team in conducting a restraint assessment and devising interventions for removal.

OUTCOME MEASURES:

We compared pre- and post-study aggregate and individual facility rates of restraint use, incidents and accidents, family attitudes, financial impact, serious injuries, and staff attitudes and work patterns.

CONCLUSION:

Preliminary data suggest that this intervention was well received and appears to be effective in achieving restraint-free care.

PMID:
7594161
[Indexed for MEDLINE]
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