Long-Term Care

Restraint reduction and elimination

LTC Nursing Assistant Trainer, June 30, 2011

In recent years, a movement has been underway to eliminate the use of restraints in healthcare facilities in the United States. Nurses have mixed reviews over restraint elimination, but many feel negatively towards it. Interestingly, nurses in other countries, particularly in Europe, rarely use restraints.

The restraint reduction movement is research-based. Many studies have been conducted that show fewer injuries in a restraint-free environment. In residents that sustained injury, the injuries were less severe than in residents who were restrained. These studies have also shown that caring for a resident in restraints is more time-consuming than caring for residents who are not restrained. However, restraints may not be used for staff convenience.

This is an excerpt from the HCPro book, The Long-Term Care Nursing Desk Reference, Second Edition, by Barbara Acello, MS, RN.

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