The two most significant factors for continued restraint use after reduction programs were severe cognitive impairment and staff belief in increased fall risk without restraint usage. The authors suggest that the best way to change staff attitudes about restraint use may be interdisciplinary team efforts to develop individualized care programs. It is important to develop targeted interventions and to educate staff in both the assessment and the analysis of risk factors associated with accidental falls and fall-related injuries. Ryden, Muriel B., et al. Nursing Interventions for Depression in Newly Admitted Nursing Home Residents.
Depression increases both morbidity and mortality in the elderly.
The incidence of major depression in nursing facility residents is estimated to be between 12 percent and 15 percent. Minor depression may occur in up to 50 percent of facility residents. Depression is frequently unrecognized and therefore untreated in facility residents. Treatment options include drug therapy, electroconvulsant therapy, and psychotherapy. Depression in the elderly is an interaction between social, psychological, and functional factors.