All newly admitted facility residents should be considered at risk for at least minor depression. Factors such as a decline in health status, the loss of independence, unfamiliar surroundings, and lack of social support can all contribute to depression in this population. The article included an intervention protocol to prevent depression in high-risk residents and one for those residents who have been identified as depressed. Walker, Leslie, et al. Integrating the Views of Nurses and Certified Nurse Aides.
Individualized care is one option for maximizing restraint reduction in nursing facilities.
There are differences between the perceptions of these groups that can influence the success of any restraint reduction program. CNAs report that the most significant barrier to individualized care is inadequate staffing. They also perceive problems with family attitudes and a lack of interdisciplinary teams. Nurses, on the other hand, perceive alternative program cost, lack of administrative support, and staff attitudes as barriers to a successful program of individualized care to reduce restraints. The authors discuss implications for nursing practice and suggest educational methods to optimize the success of restraint reduction programs using individualized care planning.