Reducing Physical Restraints in Nursing Homes: A Report From Maria Wolff and Sanitas. Muniz, R., Gomez, S., Curto, D., Hernandez, R., Marco, B., Garcia, P., Tomas, J., F., & Olazaran, J. Journal of the American Medical Directors Association, . Published by Elsevier Inc, 5, 2016. abstract bibtex 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.
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title = {Reducing Physical Restraints in Nursing Homes: A Report From Maria Wolff and Sanitas},
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year = {2016},
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month = {5},
publisher = {. Published by Elsevier Inc},
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city = {Maria Wolff Foundation, Madrid, Spain.; BUPA-SLA Sanitas, Mayores, Spain.; BUPA-SLA Sanitas, Mayores, Spain.; BUPA-SLA Sanitas, Mayores, Spain.; BUPA-SLA Sanitas, Mayores, Spain.; Government of Navarra, Pamplona, Spain.; BUPA-SLA Sanitas, Mayores, Spain.;},
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abstract = {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.},
bibtype = {article},
author = {Muniz, R and Gomez, S and Curto, D and Hernandez, R and Marco, B and Garcia, P and Tomas, J F and Olazaran, J},
journal = {Journal of the American Medical Directors Association}
}
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