Reducing Physical Restraints in Nursing Homes: A Report From Maria Wolff and Sanitas
| Autor: | Ruben Muñiz, Beatriz Marco, Javier Olazarán, David Curto, Raúl Hernández, Sergio Luis Suárez Gómez, José F. Tomás, Pilar García |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Restraint Physical medicine.medical_specialty fall Nursing(all) Psychotropic medication 03 medical and health sciences Elderly 0302 clinical medicine Intervention (counseling) medicine Dementia Humans 030212 general & internal medicine Longitudinal Studies Medical prescription Psychiatry physical restraint General Nursing Aged Medicine(all) Aged 80 and over Psychotropic Drugs injurious fall psychotropic medications business.industry Health Policy Physical restraints Mean age General Medicine medicine.disease Confidence interval Nursing Homes nursing home Spain Physical therapy Accidental Falls Female Geriatrics and Gerontology business Nursing homes 030217 neurology & neurosurgery |
| Zdroj: | Journal of the American Medical Directors Association. 17(7) |
| ISSN: | 1538-9375 |
| Popis: | Objective Physical restraints are associated with severe side effects and suffering. A comprehensive, person-centered, methodology was implemented in 41 Spanish nursing homes to safely eliminate restraints. Methods Data were collected in 2 waves: September 2011 (at the beginning of the intervention, n = 4361) and September 2014 (n = 5051). Use of 10 different types of physical restraints was recorded, as well as frequency of psychotropic medication prescription, falls, and mortality. Results Mean age was 83.4 (SD 8.5) and 63.5% of the residents had dementia. Frequency (95% confidence interval) of people having at least 1 restraint was reduced from 18.1% (17.0–19.3) to 1.6% (1.3–2.0). Use of benzodiazepines was also reduced, with no significant changes in other psychotropic medications and mortality. The rate of total falls increased from 13.1% (12.1–14.1) to 16.1% (15.1–17.1), with no significant increase in injurious falls. Conclusion Physical restraints can almost completely be eliminated with reasonable levels of safety. |
| Databáze: | OpenAIRE |
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