This bundle includes the following guidelines:
- Fall Prevention
- Changing the Practice of Physical Restraint Use in Acute Care
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.
Wandering can be problematic for caregivers, as well as for the person with dementia. This occurs when wandering behavior disrupts the individual’s sleep, eating, socialization, safety, or the caregiver’s ability to provide care. Assessment of premorbid factors, the disease process, behavioral symptoms typical of dementia, medications and their side effects is important when individualizing interventions for wandering behavior. Other factors, such as environment and the knowledge and skill of the caregiver, should be considered when planning care for older adults with dementia who are at risk for wandering behavior.
The purpose of this evidence-based guideline is to assist caregivers in identifying and in dealing with wandering behaviors in community-dwelling or institutionalized older adults with dementia. Written 2002; Revised 2008; 2014.
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