title: Using a best practice approach to prevent treatment interference in critical care.
abstract: Treatment interference, also known as therapy disruption, device disruption, or self extubation, is a common and especially difficult clinical problem in critical care. This paper presents creative and practical clinical innovations and relevant research findings as a "best practice approach" to prevent treatment interference in critical care settings. Key principles are presented to guide patient assessment and selection of nursing strategies. Nursing assessment parameters are described and a wide range of nonrestraint strategies are discussed.
authors.affiliation: Center for Advancing Care in Serious Illness, School of Nursing, University of Pennsylvania, Philadelphia 19104-6069, USA.
authors.forename: M B
authors.initials: MB
authors.lastname: Happ
mesh_terms: D000328:Adult; D000368:Aged; D003422:Critical Care / Q000379:methods*; D005260:Female; D006801:Humans; D009730:Nursing Assessment; D010347:Patient Care Planning; D010349:Patient Compliance; D012149:Restraint, Physical