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

Type of practice

Other health practices

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. Kröpelin TF, Neyens JC, Halfens RJ, Kempen GI, Hamers JP. Fall determinants in older long-term care residents with dementia: a systematic review. International Psychogeriatrics 2013; 25(04): 549-563.
2. Ministero della Salute. Raccomandazione per la prevenzione e la gestione della caduta del paziente nelle strutture sanitarie. Novembre 2011.
3. Evans LK, Cotter VT. Avoiding restraints in patients with dementia: understanding, prevention, and management are the keys. Am J Nurs 2008 Mar; 108(3): 40-9; quiz 50.
4. Haut A, Köpke S, Gerlach A, Mühlhauser I, Haastert B, Meyer G. Evaluation of an evidence-based guidance on the reduction of physical restraints in nursing homes: a cluster-randomised controlled trial. BMC geriatrics 2009; 9(1): 42.

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.