TY - JOUR PY - 1989// TI - Tying down the elderly. A review of the literature on physical restraint JO - Journal of the American Geriatrics Society A1 - Evans, L. K. A1 - Strumpf, N. E. SP - 65 EP - 74 VL - 37 IS - 1 N2 - The apparently widespread practice of physical restraint of the elderly has received little systematic research, despite reported clinical awareness of its iatrogenic effects on frail elders. Prevalence rates in various settings range between 6% and 86%, with cognitive impairment an important risk factor for restraint. Despite strongly held beliefs, efficacy of restraints for safeguarding patients from injury has not been demonstrated clinically. This paper reviews the current status of knowledge regarding physical restraint use with the elderly and suggests a research agenda and implications for ethical practice.

Language: en

LA - en SN - 0002-8614 UR - http://dx.doi.org/ ID - ref1 ER -