Table of Contents
- Introduction
- Defining "potentially excessive use of physical restraints"
- Alberta nursing homes with highest rate of "potentially excessive use of physical restraints"
- Considerations for choosing nursing homes
Introduction
When selecting a nursing home, the rate of potentially excessive use of physical restraints is a significant factor to consider, as it has direct implications for the resident's quality of life and overall well-being. Research has shown that inappropriate use of restraints, particularly among individuals with dementia, can lead to a range of negative outcomes, both physical and psychological.
Physical restraints, whether in the form of belts, geriatric chairs, or other devices, are intended to prevent injury or manage challenging behaviors. However, their use can severely restrict a senior's freedom and independence. For example, restraints can impede natural movement, leading to frustration and a loss of confidence and self-esteem. The restriction of movement can also result in physical harm, including skin abrasions, bruises, and even fractures. Additionally, seniors who attempt to free themselves from restraints may incur further injuries.
Beyond the physical risks, the use of restraints can cause significant psychological distress. Seniors may experience anxiety, fear, and a profound sense of loss of dignity. This emotional toll can manifest as agitation, depression, isolation, and even post-traumatic stress. In individuals with dementia, psychological distress caused by restraints can contribute to a decline in cognitive function, further exacerbating their condition.
Prolonged use of restraints also poses the risk of cognitive and physical decline. Extended periods of immobilization can lead to muscle atrophy, reduced mobility, and overall health deterioration. These effects not only diminish the quality of life but also increase the likelihood of further complications and a need for more intensive care.
Defining "potentially excessive use of physical restraints"
The percentage of long-term care residents subjected to daily physical restraints serves as a key indicator of "potentially excessive use of physical restraints," highlighting concerns related to resident autonomy, safety, and adherence to evidence-based care practices.
Physical restraints, such as belts, limb restraints, or chairs that prevent movement, are intended for specific situations where they are medically necessary. However, excessive or inappropriate use of these restraints, particularly when alternatives are not adequately explored, raises significant concerns about the quality of care. Prolonged or unwarranted use can lead to physical injuries, psychological distress, and a decline in both cognitive and physical functioning, especially in vulnerable elderly populations.
Monitoring the percentage of residents subjected to physical restraints without clear, evidence-based justification underscores the importance of ensuring that such interventions are used judiciously. When restraints are applied without sufficient cause, it may indicate a deviation from best practices, potentially exposing residents to unnecessary harm.
Alberta nursing homes with highest rate of "potentially excessive use of physical restraints"
Below are five nursing homes with the highest percentage of long-term care residents in daily physical restraints:
- 🥇 Rosehaven Care Centre ranks first at 55.7% for the highest rate of potentially excessive use of physical restraints
- 🥈 Coaldale Health Centre ranks second at 31.1% for the highest rate of potentially excessive use of physical restraints
- 🥉 Edith Cavell Care Centre ranks third at 26.4% for the highest rate of potentially excessive use of physical restraints
- Hythe Continuing Care Centre ranks fourth at 22.4% for the highest rate of potentially excessive use of physical restraints
- Pembina Village ranks fifth at 21.1% for the highest rate of potentially excessive use of physical restraints
Considerations for choosing nursing homes
When evaluating a nursing home, it is important to review the facility's policies and practices regarding the use of physical restraints.
Prospective residents and their families should inquire about the training and protocols in place for managing behaviors that might otherwise lead to the use of restraints, as well as the facility's commitment to minimizing restraint use.
Facilities that report lower rates of restraint use typically emphasize non-restrictive interventions and person-centered care approaches, which prioritize the dignity and autonomy of residents.
Learn performance indicators for Alberta nursing homes:
- 💊 Potentially inappropriate use of antipsychotics
- 🔒 Potentially excessive use of physical restraints
- 🤕 Fall risk
- 🦽 Worsened physical functioning
- 🩹 Worsened pressure ulcers
- 😣 Pain
- ☹️ Worsened depressive mood
Learn demographic profiles of Alberta nursing homes: