Restraint reduction: research utilization and case study with cognitive impairment.
Although great strides have been made in restraint reduction, restraints still present a challenge for long-term care facilities. Restraint reduction is particularly difficult with cognitively impaired residents. This article presents the implementation of a research-based approach to restraint reduction and a case study with a cognitively impaired resident. Two year after implementing the research-based approach, the restraint rate had decreased 28%. The case study with the cognitively impaired resident revealed an increase in nurse contacts but a decrease in nurse time after restraint reduction. Concern for the cognitively impaired resident's safety remained an issue for the staff. Discussion includes weighing the risk/benefit ratio of restraint use and considering dignity and quality of life.
Mayhew
P A
PA
Central Texas Veterans Health Care System, Temple, USA.
Christy
K
K
Berkebile
J
J
Miller
C
C
Farrish
A
A
D000368:Aged; D003072:Cognition Disorders / Q000451:nursing*; D004059:Diffusion of Innovation; D005851:Geriatric Nursing / Q000379:methods* / Q000706:statistics & numerical data; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008134:Long-Term Care / Q000379:methods; D008297:Male; D015403:Nursing Evaluation Research / Q000379:methods*; D009740:Nursing Staff / Q000193:education / Q000523:psychology; D012107:Research Design; D012149:Restraint, Physical / Q000009:adverse effects / Q000706:statistics & numerical data*