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J A Blakeslee

Publications and source records attributed to J A Blakeslee.

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Alternatives to physical and pharmacologic restraints in long-term care.

The most effective programs for reducing the use of restraints involve facility policy initiatives that are strongly supported by the medical director, the administrator and the director of nursing. The physician and nursing home staff must recognize that physical and pharmacologic restraints have different purposes. Implementing alternatives to restraints requires a careful examination of the source of the problem behavior and an individualized approach. Alternatives to medication should be stressed. When a medication is necessary, it should be prescribed for a limited time, with a definite date for discontinuation. Family physicians can actively participate in restraint reduction programs, whether by initiating the process or by providing support and counseling to staff.

Aged↗

Making the transition to restraint-free care.

When implementing a change to restraint-free care, education and communication at all levels of the organization are powerful strategies to overcome resistance. Within each facility, there are at least six identifiable groups, with attitudes based on their educational background, life experiences and perceptions that are targets for change. An anonymous attitudinal survey and sensitivity session serve as effective "unfreezing" tools for all levels of staff to express concerns regarding physical restraints and to recognize the need for change. Change requires a slow, methodical system where specific alternatives are gradually introduced. Success with the easier cases encourages staff to continue efforts with more challenging cases.

Accidental Falls↗

Response of hens to various dietary levels of tannic acid.

One-hundred-twenty Babcock B-300 ehns, 17 months of age, were placed one bird per cage with six replicates of five birds each per treatment. Four levels (0, 1, 2, and 4%) of technical grade tannic acid were added to a standard corn-soy layer diet. With the exception of feed comsumption during the second and third week, there were no significant differences for feed consumption, egg production, feed efficiency, fertility, or hatchability amond the control birds and those receiving tannic acid at the 1% level. The addition of tannic acid at levels of 2 and 4% resulted in significantly decreased feed consumption and egg production during the six-week experimental period. Fertility and hatchability were not significantly affected by dietary tannic acid.

Animals↗

The relative efficiency of DL-methionine and methionine hydroxy analogue-calcium (MHAC) in the diet of turkey poults.

Two experiments were conducted to evaluate the relative efficiency of methionine and methionine hydroxy analogue-calcium (MHAC) in the diet of turkey poults. A corn-soybean diet containing 25% protein and 2583 kilocalories of metabolizable energy per kilogram was utilized. Five experimental diets were fed: basal, 0.04 and 0.08% supplemental DL-methionine and 0.04 and 0.08% supplemental MHAC. In both experiments eight pens of seven poults were fed each experimental diet. This resulted in a total of 16 replicate pens receiving each diet. Body weight and feed efficiency were measured at four weeks of age. The MHAC, on a weight basis, was found to have 82.4 and 82.8% activity of DL-methionine based on body weight and feed efficiency, respectively.

Animal Feed↗

Debunking the myths.

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Accidental Falls↗