Abstract
AIM: The use of physical restraint in elderly patients is sometimes
necessary but not without risk. We studied the prevalence and modalities
of physical restraint in elderly patients in 6 old people's homes
in the urban area of Toulouse, and emphasized the need for better
use by the nursing staff of physical restraint in such patients with
a specific training course. METHODS: Other than the prevalence of
restraint, we also examined the modalities of its use in elderly
patients. We studied the respect of the Anaes (Agence nationale d'accréditation
et d'évaluation en santé) guidelines regarding the use of
restraint in such patients, before and after an intervention that
associated first a collective training course of all the staff in
the old people's homes, and then specific individual training by
a visiting practitioner. The information concerning the number of
patients in whom restraint was used was obtained from the manager
of the home or from the head nurse and was then checked by the investigator.
RESULTS: The prevalence of restraint was of 22.2\% (n=110 patients)
at the start of the study, 15.9\% following training sessions (at
6 months) and 15.5\% at the end of the study (at 9 months). Skills
improved regarding the benefit/risk assessment, the installation
of the person restrained and the regular removal of the restraint
during the day. CONCLUSION: Our strategy helped to underline this
problem for the staff. The Anaes guidelines are too strict to be
applied in old people's homes. One of the key points in improved
management would be the presence of a coordinating physician and
nurse in all the institutions caring for the elderly.
- 15523287
- 80
- abstract,
- accreditation,
- aged,
- and
- english
- female,
- france,
- gov't,
- homes,
- humans,
- male,
- non-u.s.
- nursing
- over,
- physical,
- population,
- prevalence,
- research
- restraint,
- support,
- urban
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