PMID: 11915157Mar 28, 2002Paper

Achieving restraint-free care of acutely confused older adults

Journal of Gerontological Nursing
E M Sullivan-Marx

Abstract

Restraint-free care has emerged as an indicator of quality care for older adults in all settings. The most difficult challenges to achieving this goal are care of hospitalized older adults who are functionally dependent and cognitively impaired. The purpose of this article is to report findings from a descriptive study of restrained hip fracture patients, and discuss approaches to achieving restraint-free care. Rate of restraint use was 33.2% among hospitalized hip fracture patients during an 11-year period in 20 metropolitan teaching hospitals. Restrained patients were older men who resided in nursing homes prior to hospitalization. Clinically, restrained patients had a diagnosis of dementia, were noted to be confused or disoriented by nursing staff, and were dependent in activities of daily living. An individualized approach to care is the best method to avoid use of physical restraints for patients with acute confusion and cognitive impairment.

References

Aug 1, 1992·Journal of the American Geriatrics Society·L C BurtonL J Brant
Dec 1, 1992·The Gerontologist·S H Miles, P Irvine
Nov 1, 1992·The American Journal of Nursing·M D Weick
Jan 1, 1992·Image--the Journal of Nursing Scholarship·C K WanichJ C Johnson
Nov 1, 1990·Journal of General Internal Medicine·B BerlandE Phillips
Jun 1, 1989·American Journal of Public Health·R P LofgrenJ M Sprafka
Apr 1, 1987·Journal of the American Geriatrics Society·L J RobbinsD W Jahnigen
Jan 1, 1982·Social Science & Medicine·M R GillickL S Gillick
Jan 1, 1994·Image--the Journal of Nursing Scholarship·E M Sullivan-Marx
Aug 1, 1994·Journal of the American Geriatrics Society·P PompeiC K Cassel
Mar 20, 1996·JAMA : the Journal of the American Medical Association·S K Inouye, P A Charpentier
Jan 1, 1996·Journal of Gerontological Nursing·R Ludwick, A W O'Toole
Mar 1, 1996·Journal of Gerontological Nursing·M B HappS G Burger
Sep 1, 1996·Journal of the American Geriatrics Society·S O'KeeffeM Lye
Sep 1, 1996·Journal of the American Geriatrics Society·J D Frengley
Jun 1, 1997·Journal of the American Geriatrics Society·C C Williams, C E Finch
Jan 23, 1998·JAMA : the Journal of the American Medical Association·J L CarsonB L Strom
Feb 19, 1998·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·E CapezutiG Maislin
May 9, 1998·The Gerontologist·N G Castle, B Fogel
Nov 24, 1998·The Journal of Nursing Administration·A F MinnickR M Palmer
Dec 30, 1998·The Gerontologist·F Porell, F G Caro
Mar 4, 1999·The New England Journal of Medicine·S K InouyeL M Cooney
Mar 17, 1999·Journal of the American Geriatrics Society·E M Sullivan-MarxG Maislin
Aug 1, 2000·Journal of the American Dietetic Association·S Escott-StumpG Robinson

❮ Previous
Next ❯

Citations

Mar 10, 2005·Zeitschrift für Gerontologie und Geriatrie·J P H Hamers, A R Huizing
May 4, 2012·Expert Review of Neurotherapeutics·Antoine Leuzy, Serge Gauthier
Aug 25, 2012·International Journal of Nursing Studies·Math J M GulpersJan P H Hamers
May 12, 2009·Applied Nursing Research : ANR·Ruth McCaffrey
Jun 1, 2006·International Journal of Older People Nursing·Stephen Neville
Jan 11, 2013·Journal of the American Geriatrics Society·Math J M GulpersJan P H Hamers
Dec 20, 2014·Journal of Psychiatric and Mental Health Nursing·E C Muir-CochraneT V McCann
Jun 16, 2004·Geriatric Nursing·Rose M McCloskey
Aug 28, 2004·The Nursing Clinics of North America·Elizabeth Capezuti
Dec 12, 2012·Continuum : Lifelong Learning in Neurology·James C Stevens
Feb 8, 2014·Holistic Nursing Practice·Gülendam Hakverdioğlu YöntRukiye Koyuncu
Feb 2, 2011·American Journal of Alzheimer's Disease and Other Dementias·Huabin LuoNicholas Castle
Mar 17, 2004·Journal of Gerontological Nursing·Tova HendelDalia Kidron
Dec 20, 2008·Journal of Religion and Health·Susan Stranahan
Aug 15, 2013·Clinical Nurse Specialist CNS·Serife KaragozogluFatma Tok Yildiz
Aug 2, 2003·Journal of the American Geriatrics Society·Meg BourbonniereGreg Maislin
Sep 23, 2008·Journal of Nursing Care Quality·Ann Kratz
Feb 22, 2007·Journal of Gerontological Nursing·Myonghwa Park, Jane Hsiao-Chen Tang

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2022 Meta ULC. All rights reserved