Alternatives to Restraints
Avoiding Restraints in Patients with Dementia
http://www.hartfordign.org/publications/trythis/dementia.pdf
From the John A. Hartford Institute of Geriatric Nursing and Alzheimer's Association's "Try This" series, this provides ways of assessing needs for and risks for the use of restraints in patients with dementia. It offers ideas for communicating with elders with dementia and assessing their baseline behaviors while also presenting ways to implement interventions to avoid the use of restraints.
Video: http://www.nursingcenter.com/prodev/ce_article.asp?tid=776679
Article: http://www.nursingcenter.com/prodev/ce_article.asp?tid=776342 (AJN, March 2008)
Restraint-Free Care in Nursing Homes - Penn Nursing
http://www.nursing.upenn.edu/centers/hcgne/gero_tips/RFC/default.htm
This is an online training module offering information on planning, developing, and implementing interventions to avoid using restraints in nursing homes. The module is on the website for The Hartford Center of Geriatric Nursing Excellence (HCGNE) at Penn Nursing: GERO T.I.P.S. Online.
Evaluation of Side Rail Use
http://www.nursing.upenn.edu/centers/hcgne/gero_tips/PDF_files/Evaluation_of_Siderail_Usage.pdf
This is a link from GERO T.I.P.S. Online, sponsored by Penn Nursing and the Hartford Center of Geriatric Nursing Excellence.
GeroNurse Online - Physical Restraints
www.consultgerirn.org
Provides a good overview on how to minimize the use of restraints for older adults within the framework. Select physical restraints from the menu.
Implementation Guide: Reducing the use of daily physical restraints
http://www.nhqualitycampaign.org/files/im/2_PhysicalRestraints_TAW_Guide.pdf
Provides an excellent guide for nursing facilities to use to reduce or eliminate physical restraints and consider alternatives. This implementation guideline was developed through the national Advancing Excellence in Nursing Homes Campaign.
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