Reducing the Use of Physical Restraints in the care of Persons with Delirium and Dementia: A Quality Improvement Project
Elizabeth Reaves Houston, Kimberly Mournighan, David H Lynch · 2025
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Description
Elizabeth Reaves Houston, Kimberly Mournighan, and David Lynch lead a project to cut physical restraint use in a 2025 paper. Hospitalized elders with dementia face high delirium risk, and restraints worsen decline and death odds. Their twenty-five bed elder care unit adopts the 4Ms frame: mentation, mobility, medication, and what matters to the patient. Staff train for seven months using plan-do-study-act cycles.
Nurses screen thinking and delirium each shift, therapists check mobility within a day, and pharmacists review medicines, they describe. Three hundred sixty-two patients, averaging eighty-one years, pass through in the first nineteen weeks. Restraint orders are counted before and after for comparison.
Catalog record
| CREATOR | Elizabeth Reaves Houston, Kimberly Mournighan, David H Lynch |
|---|---|
| YEAR | 2025 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 2 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |