PubMed Health⌕ Search

Biomedical subjects

N E Strumpf

Publications and source records attributed to N E Strumpf.

10 recordsLinked to original sources
PubMed1992

Reducing physical restraints: developing an educational program.

1. Philosophical premises for an educational program aimed at restraint reduction include beliefs about quality of care, commitment to understanding the meaning of behavior, and desire to shift practice from control of behavior to individualized approaches to care. 2. If change is to occur, an educational program aimed at restraint reduction must recognize the potential contributions of all staff members, use an interactive teaching style, and promote discussion and problem solving. 3. Results of testing a Restraint Education Program suggested that altering staff beliefs and increasing knowledge produced a change in restraint practices, at least in the short term.

Aged↗
PubMed1991

The ethical problems of prolonged physical restraint.

The rising prevalence of physical restraint warrants careful examination of the moral, ethical, and legal dimensions of the practice. For the frail elderly, quality of life, decision making, and informed consent are significant issues. The ethical dilemmas created by the use of physical restraints, and the need to consider restraint as an issue fundamental to the nursing home milieu and beliefs about quality of life, require understanding of and commitment to care that is individualized and person-centered. The elements identified in care settings where restraints are rarely, if ever, used evolve from an awareness of the needs of the individual resident, continuous monitoring of health status, and appropriate adjustments in the care plan.

Aged↗
PubMed1989

Tying down the elderly. A review of the literature on physical restraint.

The apparently widespread practice of physical restraint of the elderly has received little systematic research, despite reported clinical awareness of its iatrogenic effects on frail elders. Prevalence rates in various settings range between 6% and 86%, with cognitive impairment an important risk factor for restraint. Despite strongly held beliefs, efficacy of restraints for safeguarding patients from injury has not been demonstrated clinically. This paper reviews the current status of knowledge regarding physical restraint use with the elderly and suggests a research agenda and implications for ethical practice.

Aged↗
PubMed1987

Probing the temporal world of the elderly.

This paper reviews the literature on subjective time experience, especially as it relates to the elderly; comments on the problems associated with measuring such experience; describes a study to explore temporality in older women; provides speculations concerning the meaning and impact of time on the life and health of the aged; and notes nursing implications. Findings from the study of elderly women suggest that successful aging may be linked to a feeling of timelessness, and furthermore, that a search for the meaning of temporality in old age may add to an understanding of physical and mental health, well-being and longevity.

Aged↗
PubMedDate not supplied

Physical restraint of the hospitalized elderly: perceptions of patients and nurses.

Twenty elderly restrained patients and their primary nurses (N = 18) were studied to determine (a) the subjective impact of physical restraints on the patient and (b) the nurses' beliefs about use of restraints. Despite reported cognitive impairments, patients vividly described anger, discomfort, resistance, and fear in response to the experience of physical restraint. The decision to restrain posed a conflict between protection of the patient and beliefs about professional behavior for the nursing staff. Lack of interdisciplinary collaboration in decisions to use a physical restraint was also apparent. The findings suggest that the use of physical restraint is not a benign practice and support the need for developing alternatives more consistent with professional practice and quality care.

Aged↗