Physical Restraint and Antipsychotic Medication Use Among Nursing Home Residents With Dementia

Foebel, Andrea D.; Onder, Graziano; Finne-Soveri, Harriet; Lukas, Albert; Denkinger, Michael; Carfì, Angelo; Vetrano, Davide Liborio; Brandi, Vincenzo; Bernabei, Roberto; Liperoti, Rosa

doi:10.1016/j.jamda.2015.11.014

Cited by 67 publications

(69 citation statements)

References 20 publications

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“…Physical restraint use was associated with a higher risk of both functional and cognitive decline compared with antipsychotic drug use alone. These risks were highest among residents receiving both antipsychotic drugs and physical restraints, suggesting additive effects (Foebel et al ., ).…”

Section: Discussionmentioning

confidence: 97%

“…Of the residents, 52% were exposed to physical restraints during the preceding 24 h. The high rate of physical restraining is in line with previous studies (Feng et al ., ; Foebel et al ., ), although the investigation by the Resident Assessment Instrument (RAI) (Hawes et al ., ) excluded bedrails, thus yielding a lower figure (28%) (Feng et al ., ). In our study, bedrails were the most frequently used restraints, consistent with many earlier studies (Meyer et al ., ; Saarnio et al ., ; Hofmann et al ., ).…”

Section: Discussionmentioning

confidence: 99%

“…However, antipsychotic use simultaneously increased. The use of physical restraints has suggested to be even more risky related to function and cognition than the use of antipsychotics, concomitant use being more dangerous than either alone (Foebel et al ., ).…”

Section: Introductionmentioning

confidence: 97%

See 2 more Smart Citations

Physical restraints and associations with neuropsychiatric symptoms and personal characteristics in residential care: a cross‐sectional study

Kuronen

Kautiainen

Karppi

et al. 2016

Int J Geriat Psychiatry

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Physical restraints and associations with neuropsychiatric symptoms and personal characteristics in residential care: a cross‐sectional study

Kuronen

Kautiainen

Karppi

et al. 2016

Int J Geriat Psychiatry

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“…To further optimize the search, we composed a comprehensive list of physical restraints and problem behavior types and synonyms using related guidelines, overview articles, and a consultation of a clinical neuropsychologist (7,9,13,14,(31)(32)(33)(34)(35)(36)(37)(38).…”

Section: Search Strategymentioning

confidence: 99%

Physical and Pharmacological Restraints in Hospital Care: Protocol for a Systematic Review

et al. 2020

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“…The care at traditional nursing homes often focusses on physical care, keeping residents safe, and preventing health care problems (e.g. [2]). However, in recent years there has been more emphasis on a psychosocial and more homelike care concept with an increased interest in values such as quality of life, autonomy and striving to allow residents of nursing homes to continue the life they had before admission as much as possible [3, 4].…”

Section: Introductionmentioning

confidence: 99%

Quality of care and quality of life of people with dementia living at green care farms: a cross-sectional study

et al. 2017

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BackgroundMany countries are introducing smaller, more home-like care facilities that represent a radically new approach to nursing home care for people with dementia. The green care farm is a new type of nursing home developed in the Netherlands. The goal of this study was to compare quality of care, quality of life and related outcomes in green care farms, regular small-scale living facilities and traditional nursing homes for people with dementia.MethodsA cross-sectional design was used. Three types of nursing homes were included: (1) green care farms; (2) regular small-scale living facilities; (3) traditional nursing homes. All participating nursing homes were non-profit, collectively funded nursing homes in the south of the Netherlands. One hundred and fifteen residents with a formal diagnosis of dementia were included in the study. Data on quality of care was gathered and consisted of outcome indicators (e.g. falling incidents, pressure ulcers), structure indicators (e.g. hours per resident per day), and process indicators (e.g. presence, accessibility and content of protocols on care delivery). Furthermore, questionnaires on cognition, dependence in activities of daily living, quality of life, social engagement, neuropsychiatric symptoms, agitation, and depression were used.ResultsData showed that quality of care was comparable across settings. No large differences were found on clinical outcome measures, hours per resident per day, or process indicators. Higher quality of life scores were reported for residents of green care farms in comparison with residents of traditional nursing homes. They scored significantly higher on the Quality of Life – Alzheimer’s disease Scale (p < 0.05, ES = 0.8) indicating a better quality of life. In addition, residents of green care farms scored higher on three quality of life domains of the Qualidem: positive affect, social relations and having something to do (p < 0.05, ES > 0.7). No differences with regular small-scale living facilities were found.ConclusionsGreen care farms seem to be a valuable alternative to existing nursing homes. This is important as people with dementia are a heterogeneous group with varying needs. In order to provide tailored care there also is a need for a variety of living environments.

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Physical Restraint and Antipsychotic Medication Use Among Nursing Home Residents With Dementia

Cited by 67 publications

References 20 publications

Physical restraints and associations with neuropsychiatric symptoms and personal characteristics in residential care: a cross‐sectional study

Physical restraints and associations with neuropsychiatric symptoms and personal characteristics in residential care: a cross‐sectional study

Physical and Pharmacological Restraints in Hospital Care: Protocol for a Systematic Review

Quality of care and quality of life of people with dementia living at green care farms: a cross-sectional study

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