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V Koroknay

Publications and source records attributed to V Koroknay.

5 recordsLinked to original sources
PubMed1994

Individualized care alternatives used in the process of removing physical restraints in the nursing home.

OBJECTIVE: To describe the individualized care alternatives used during the process of removing physical restraints in a nursing home. DESIGN: Descriptive survey. SETTING: A non-profit geriatric long-term care facility. SUBJECTS: Sixty-three physically restrained residents (mean age = 85.3 years). MEASURES: Information regarding the different care alternatives used to replace physical restraints was obtained from the Gerontological Clinical Nurse Specialist implementing the process of removing restraints. RESULTS: The physical restraints of six of the 63 participants were removed without implementing any care alternative. With the remaining 57 participants, an average of 3.3 different care alternatives were used (range 1-7 care alternatives). Environmental alternatives (such as wheelchair adaptations and alternative seating) were used with 86% of the restrained residents; alterations in nursing care (such as additional supervision and toileting schedules) were used with 77% of the participants. Psychosocial and physiological alternatives, as well as the use of structured activities, were used less frequently. At the end of the study period, five residents remained restrained. CONCLUSIONS: This papers shows the complexity of the process of removing physical restraints in the nursing home. The need of an individualized approach is stressed.

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PubMed1994

Reducing restraints. Impact on staff attitudes.

1. Changing the practice of using physical restraints must include nursing staff members as one of the main targets for change. 2. Following education and the implementation of a restraint-reduction program, 58% of the nursing staff participants found restraint use to be less important in caring for the elderly. Changes were more significant, however, immediately after the mandatory inservice program. 3. Nursing staff members whose perceptions changed tended to be registered nurses or licensed practical nurses who had more years of experience and more seniority at work. 4. The provision of ongoing education to nursing staff members is a necessary step to decrease feelings of frustration and stress and to assist the staff in being aware of alternatives to restraints.

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