C aoezuti, Elizabeth, et al . Physical Restraint Use and Falls in Nursing Home Residents. Restraint reduction is a goal for long term care facilities, not only because of regulatory requirements, but also because of concern for improving the quality of life of the residents. Use of restraints is based on the assumption that these devices prevent falls and fall-related injuries. However, studies indicate that restraint use increases the risk of fall-related injuries.
Falls are an important clinical problem for nursing facility residents.
Between 30 and 60 percent of residents fall each year. The authors suggest that restraint usage and the resultant immobility contribute to fall-related injuries and accidents. The authors of this study looked at the data from a clinical trial designed to reduce the use of restraints in three nursing facilities. One study sub-group was comprised of confused ambulatory residents. Restraint use in this group was associated with increased falls and recurrent fall risk.