Restraint use among nursing home residents: cross‐sectional study and prospective cohort study

Abstract

Effective restraint minimisation approaches are urgently warranted. An evidence-based guideline may overcome centre differences towards a restraint-free nursing home care.

Treatments and Prescriptions in Advanced Dementia Patients Residing in Long-Term Care Institutions and at Home

“…2,22 However it is lower than expected after the long media quarrel on the ''Eluana Englaro Case,'' and after the explicit stand of the Italian government and the Vatican 23,24 on defining artificial nutrition/ hydration an ''always mandatory proper care'' and not a medical treatment. Restraints were used ubiquitously in our study compared to other reports (from 15% to 66%) 25 and in the vast majority of NH patients. Data on the indications of antibiotics were not collected, but perhaps their higher prescription in HC is due to the higher prevalence of urinary catheters (nearly five times higher than in NH).…”

Preventing belt restraint use in newly admitted residents in nursing homes: A quasi-experimental study

“…The use of restraints may even increase the risk of serious injury and death (Evans et al, 2003;Healey et al, 2008;Miles and Irvine, 1992;Mohler et al, 2011). In the light of the accumulating evidence regarding the adverse consequences of physical restraint use, their use should be recognized as inappropriate (Hamers et al, 2004;Hamers and Gulpers, 2009;Meyer et al, 2009;Sullivan-Marx, 2001). In addition, physical restaints usage affects human rights which should enable us live full lives with maximum dignity and respect (Hughes, 2008).…”

„Weil wir spüren, da müssen wir was tun“ – Barrieren in der Gewaltprävention sowie zentrale Handlungserfordernisse

“…aus arbeitsöko-nomischen Motiven eingesperrt oder fixiert zu haben [20]. Eine deutsche Erhebung zur Prävalenz von freiheitseinschränkenden Maßnahmen (FEM) in Pflegeeinrichtungen [17] ergab, dass bei 40 % der Pflegebedürftigen innerhalb eines Jahres FEM durchgeführt wurden. Das im Oktober 2014 in Kraft getretene Wohn-und Teilhabegesetz besagt, dass Einrichtungen der Altenpflege dazu verpflichtet sind, Maßnahmen zur Gewaltprävention durchzuführen und die Beschäftigten zur Vermeidung von Gewalt entsprechend zu schulen [25].…”