Physical restraint use in institutional care of old people in Sweden in 2000 and 2007

Abstract

Physical restraint use is still common. Moreover, the findings of this study suggest a small increase (OR 1.031) in the prevalence of physical restraint use from 2000 to 2007 adjusted for residents' characteristics.

Dealing with troubled conscience in municipal care of older people

“…Stress of conscience has been explored in questionnaire studies in different contexts, for example, psychiatric care, general health care, care of older people and acute care settings. 3,7,12 –18 On the whole, the studies show the same results, that is, that lacking time to provide the care a patient needs generates the highest level of stress of conscience. 3,7,13,17,18 Other issues that generate stress of conscience are that work in health care is so demanding that one does not have the energy to devote oneself to one’s family as one would like and having to deal with incompatible demands in one’s work.…”

Relationship between restraint use, engagement in social activity, and decline in cognitive status among residents newly admitted to long‐term care facilities

“…Although some continue to argue physical restraint use is justified in LTCFs, many of these claims are not legitimate nor supported by current best-practice evidence. 6,9,25 Claims might include the use of physical restraints for patient safety, primarily for fall prevention, control of challenging behavior and for safe use of medical devices; 6,9,25 however, there is evidence that physical restraint use is not an adequate measure for reducing falls or fall-related injuries, or for controlling challenging behavior. 7,9,25 Physical restraint use, or non-use, is closely related to quality of care and might be used as a QI.…”

“…6,9,25 Claims might include the use of physical restraints for patient safety, primarily for fall prevention, control of challenging behavior and for safe use of medical devices; 6,9,25 however, there is evidence that physical restraint use is not an adequate measure for reducing falls or fall-related injuries, or for controlling challenging behavior. 7,9,25 Physical restraint use, or non-use, is closely related to quality of care and might be used as a QI. 2,3,26 Although QIs are not absolute measures of quality, they might be used as markers of potentially poor (or good) care prac-tices, and to measure resident outcomes.…”

“…Continued physical restraint use could result in a cycle of decline contributing to the problems they had been employed to remedy. Although some continue to argue physical restraint use is justified in LTCFs, many of these claims are not legitimate nor supported by current best‐practice evidence . Claims might include the use of physical restraints for patient safety, primarily for fall prevention, control of challenging behavior and for safe use of medical devices; however, there is evidence that physical restraint use is not an adequate measure for reducing falls or fall‐related injuries, or for controlling challenging behavior …”

The Agreement between the MMSE and IQCODE Tests in a Community-Based Sample of Subjects Aged 70 Years or Older Receiving In-Home Nursing: An Explorative Study

“…Different kinds of screening tools for detecting dementia are also used in research projects. These screening tools are mainly adopted to include (or exclude) persons with dementia in (or from) a project or to compare subjects with dementia with those without dementia [ 5 , 6 , 7 , 8 , 9 ].…”