Restraint Use in Older Adults Receiving Home Care

Abstract

Use of restraints is common in older adults receiving home care nursing in Belgium. These results contribute to a better understanding of the complexity of use of restraints in home care, a situation that may be even more complex than in nursing homes and acute hospital settings.

Professional and family caregivers’ attitudes towards involuntary treatment in community‐dwelling people with dementia

“…The study by Scheepmans et al. () indicated that restraints were used in 24.7% of older adults receiving home care; however, in this study restraints included both physical restraints and non‐consensual care. Like the findings of Hamers et al.…”

“…In addition, the order of restrictiveness of involuntary treatment use and feelings of discomfort when using involuntary treatment are more or less similar between the four groups: withholding aids and the telephone were considered the most restrictive types of non‐consensual care and fixation belts, wrist‐ and ankle belts are considered the most restrictive types of physical restraints by all caregivers. These types of involuntary treatment are the least requested and applied (Hamers et al., ; Scheepmans et al., ).…”

“…Most studies reporting on (types of) involuntary treatment focus on physical restraints and/or the use of psychotropic medication and were conducted in the nursing home setting. Literature about the use of involuntary treatment in home care is scarce, especially about non‐consensual care, its effects and the attitudes of professional and family caregivers towards the use of involuntary treatment and non‐consensual care (de Veer, Francke, Buijse, & Friele, ; Hamers et al., ; Scheepmans, de Casterlé, Paquay, Van Gansbeke, & Milisen, ). Hamers et al.…”

Nurses' knowledge, attitudes and practices related to physical restraint: a cross‐sectional study

“…; Scheepmans et al. ). To our knowledge, there is no relevant nursing guideline for physical restraint use has been published in mainland China; consequently, there is a lack of practice criteria for nurses and standard practices for physical restraint use among hospitals (Xu & Zheng ).…”

“…Physical restraint use seems to be common in various clinical settings. The rate of which is between 7% and 87% in acute care units, and is 24.7% in nursing homes (Azizpour et al 2017;Scheepmans et al 2017). To our knowledge, there is no relevant nursing guideline for physical restraint use has been published in mainland China; consequently, there is a lack of practice criteria for nurses and standard practices for physical restraint use among hospitals (Xu & Zheng 2010).…”