Geropsychiatric Restraint Use

Abstract

The use of restraint with geropsychiatric patients may be more common than previously reported and requires further investigation.

Perceptions regarding the use of physical restraints with elderly persons: comparison of Israeli health care nurses and social workers

“…The early 1990s were characterised by publications discussing the results of educational and clinical programmes aimed at reducing the use of physical restraints in long-term care facilities (Bradley et al, 1995;Ejaz et al, 1994;Evans et al, 1997;Neufeld et al, 1995;Schnelle et al, 1992;Werner et al, 1994), and more recently, in acute care settings as well (Barazovski & Rosin, 1997;Cruz et al, 1997;DeSantis et al, 1997;Maruschock, 1996;Minnick et al, 1998;Mion, 1996).…”

Restraint use in acute and extended mental health services for older persons

“…DeSantis et al . () explored the use of mechanical restraint in a psychogeriatric acute care unit in the USA, where restraint use in the first 2 weeks of admission was found to be 27.1% (36 of 131 patients admitted over a 6‐month period). A diagnosis of dementia, impaired mobility, and disruptive problem behaviours predicted the use of restraint.…”

Differences in Period Prevalence of the Use of Physical Restraints in Elderly Inpatients of European Hospitals and Nursing Homes

“…Many adverse effects of PR use have been reported (3)(4)(5)(6). Proposed but debatable reasons for the use of physical restraints include protection of confused elderly in the case of severe psychomotor agitation, delirium, increased risk of falling, or to enable treatment (7)(8)(9)(10). Wrist, waist, and chairfixation methods are used.…”