Achieving restraint-free care of acutely confused older adults.

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)56-61
Number of pages6
JournalJournal of Gerontological Nursing
Volume27
Issue number4
StatePublished - Apr 2001

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Hip Fractures
Physical Restraint
Patient Care Planning
Confusion
Quality of Health Care
Nursing Staff
Urban Hospitals
Activities of Daily Living
Nursing Homes
Teaching Hospitals
Dementia
Hospitalization
Cognitive Dysfunction

ASJC Scopus subject areas

  • Gerontology

Cite this

Achieving restraint-free care of acutely confused older adults. / Sullivan-Marx, Eileen.

In: Journal of Gerontological Nursing, Vol. 27, No. 4, 04.2001, p. 56-61.

Research output: Contribution to journalArticle

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