Don’t make regular use of restraint as a falls risk management tool.

Don’t make regular use of restraint as a falls risk management tool.

Type of practice

Other health practices

Age

Adult, Geriatric

Topic Area

Nursing

In the relevant scientific literature there is no evidence suggesting physical restraint as an intervention to prevent patient falls. On the contrary, mechanical restraint can cause psychological and direct and indirect physical side effects. Instead, it’s necessary to assess the risk of falling for each patient and implement interventions aimed at reducing the personal and environmental risk factors.

Sources

1. SISMED società italiana scienza mediche. Contenzione: tipologie, quando si applica e alternative possibili. Settembre 2021 [Internet]. Disponibile alla pagina: https://www.sismed-it.com/contenzione . [citato nel gennaio 2024].
2. Lachance C, Wright MD. Avoidance of Physical Restraint Use among Hospitalized Older Adults: A Review of Clinical Effectiveness and Guidelines Ottawa: CADTH; 2019 Feb. (CADTH rapid response report: summary with critical appraisal) [Internet]. https://pubmed.ncbi.nlm.nih.gov/31487137/ [accessed January 2024].
3. Kröpelin TF, Neyens JC, Halfens RJ, et al. Fall determinants in older long-term care residents with dementia: a systematic review. Int Psychogeriatr 2013;25:549-63.
4. Ministero della Salute. Raccomandazione per la prevenzione e la gestione della caduta del paziente nelle strutture sanitarie. Novembre 2011. [Internet]. https://www.salute.gov.it/imgs/C_17_pubblicazioni_1639_allegato.pdf [accessed January 2024]..

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Attention. Please note that these items are provided only for information and are not intended as a substitute for consultation with a clinician. Patients with any specific questions about the items on this list or their individual situation should consult their clinician.