This bundle includes the following guidelines:
- Changing the Practice of Physical Restraint Use in Acute Care
- Fall Prevention for Older Adults
Changing the Practice of Physical Restraint Use in Acute Care [HERE]
The use of physical restraint in health care institutions has been challenged for over two decades by nurses and health professionals who considered the practice overused, unethical and inappropriate in many cases. Physical restraints have not been shown to prevent the key problems for which they are used most often (falls or pulling out devices), and in fact, continue to be associated with negative outcomes for patients, including death.
The purpose of this evidence-based practice guideline is to assist nurses and other health care professionals in reducing the use of physical restraints for patients in acute care settings. This guideline identifies individual patient characteristics as well as characteristics of staff and facilities associated with restraint use. Additionally, it provides alternative strategies and approaches to restraint-free care. Written 1996 (originally titled Restraints); Revised 2005; 2014.
Fall Prevention for Older Adults [HERE]
The purpose of this evidence-based guideline is to describe strategies for identifying persons at risk for falling and for preventing falls in older adults while maintaining autonomy and independence. The goals of this guideline are to: 1) identify factors that place an individual at risk for falling; 2) detect persons who have experienced a fall; 3) prevent the occurrence of falls; and 4) prevent injury from falls among older adults. This guideline includes information regarding risk factors for falling, fall evaluation tools, fall prevention interventions, and outcome evaluations that pertain to the care of older adults in primary care, acute care, long-term care, and community settings. Written 1996; Revised 2004; 2016.
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