The use of physical restraints in nursing home residents with dementia
The use of physical restraints in nursing home residents with dementia The use of physical restraints in nursing home residents with dementia
Cluster randomized trial • 15 nursing home wards, 432 residents • Educational intervention (8 wards) versus control status (7 wards) • Prestest and 3 posttests (1, 4 & 8 months) •Measurements – Use of physical restraints (+ type, number & intensity) by blinded, trained observers on 4 separate occasions over a 24-hour period – Other resident characteristics (e.g., ADL status, mobility status, depression and social engagement) via MDS
Restraint use 50 45 40 35 30 25 20 15 10 5 0 % residents Belt in chair Belt in bed Bedrails Chair with table Deep/overturned chair Chair on board Special sheet Sleep suit Signal mat Infrared system
- Page 1 and 2: The use of physical restraints in n
- Page 3 and 4: Physical restraints Any limitation
- Page 5 and 6: Determinants of restraint use • P
- Page 7 and 8: Determinants of restraint use based
- Page 9 and 10: How can we reduce the use of physic
- Page 11 and 12: Educational program • Basic princ
- Page 13: Hypotheses The educational interven
- Page 17 and 18: Restraint use Percentag restrained
- Page 19 and 20: Comparsion of two studies investiga
- Page 21 and 22: Attitudes regarding restraint use
- Page 23 and 24: Results opinion regarding measures
- Page 25 and 26: Pilotproject ‘Stop the belt!’
- Page 27 and 28: ‘A miracle has occured: I can wal
Cluster randomized trial<br />
• 15 nurs<strong>in</strong>g <strong>home</strong> wards, 432 <strong>residents</strong><br />
• Educational <strong>in</strong>tervention (8 wards) versus<br />
control status (7 wards)<br />
• Prestest and 3 posttests (1, 4 & 8 months)<br />
•Measurements<br />
– Use <strong>of</strong> <strong>physical</strong> <strong>restra<strong>in</strong>ts</strong> (+ type, number & <strong>in</strong>tensity)<br />
by bl<strong>in</strong>ded, tra<strong>in</strong>ed observers on 4 separate<br />
occasions over a 24-hour period<br />
– Other resident characteristics (e.g., ADL status, mobility<br />
status, depression and social engagement) via MDS
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