A literature review discussing the use of restraints to prevent falls in elderly patients in nursing homes.
Written in 2008; 1,209 words; 10 sources; APA; $ 41.95
Paper Summary:
This paper discusses the use of physical or chemical restraints as a preventive measure against falls in elderly patients. It analyzes the literature which implies that restraints do not decrease the incidence of falls and questions whether restraints should still be used to prevent falls in elderly patients in nursing homes. The paper then provides some recommendations to the problem.
Table of Contents:
Problem
Background of the Problem
Scope
Evidence Based on Literature
Recommendations
Strategies for Integration
From the Paper:
"A decrease in mental status, with or without psychoactive drug use, and a perceived risk for falls was associated with subsequent restraint use, reiterating the need for patient assessment and treating the underlying condition rather than relying on restraints. Pharmacological assessment of psychotropic drugs, cardiovascular and neurological assessment of nursing home residents should be carried out in at-risk patients for falls (Lyons, 2004, Recommendation A). At-risk patients with a pertinent history for the above should be reviewed and acted upon accordingly and avoidance of restraint use due to the increased risk of falls and injuries (Lyons, 2004; Park, Hsiao-Chen Tang & Ledford, 2005, Recommendation A)."
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