The Adverse Effects of Physical Restraint Use Among Older Adult Patients Admitted to the Internal Medicine Wards: A Hospital-Based Retrospective Cohort Study

AbstractObjectivesTo evaluate the negative effect of physical restraint use on the hospital outcomes of older patients.DesignA retrospective cohort study.SettingInternal medicine wards of a tertiary medical center in Taiwan.ParticipantsSubjects aged 65 years and over who were admitted during April to Dec 2017 were recruited for study.MeasurementsDemographic data, geriatric assessments (polypharmacy, visual impairment, hearing impairment, activities of daily living before and after admission, risk of pressure sores, change in consciousness level, mood condition, history of falls in the previous year, risk of malnutrition and pain) and hospital conditions (admission route, department of admission, length of hospital stay and mortality) were collected for analysis.ResultsOverall, 4,352 participants (mean age 78.7 ±8.7 years, 60.2% = male) were enrolled and 8.3% had physical restraint. Results of multivariate logistic regression showed that subjects with physical restraints were at greater risk of functional decline (adjusted odds ratio 2.136, 95% confidence interval 1.322–3.451, p=0.002), longer hospital stays (adjusted odds ratio 5.360, 95% confidence interval 3.627–7.923, p
Source: The Journal of Nutrition, Health and Aging - Category: Nutrition Source Type: research

Related Links:

Boston-headquartered Orbita, a healthcare innovation company offering conversational AI platform and virtual health assistant solutions, has released the OrbitaASSIST, a voice-powered, AI-driven bedside virtual assistant. Patients use a smart speaker...
Source: Medgadget - Category: Medical Devices Authors: Tags: Exclusive Informatics Source Type: blogs
This article highlights its key features to promote better awareness and recognition, by reviewing clinical findings and imaging of patients across various modalities including plain radiographs, ultrasound and computed tomography. The management of neurogenic heterotopic ossification is limited by late identification and consequently clinicians should always be aware of this potentially significant diagnosis. Recognition in the acute hospital setting before transfer to rehabilitation services may prevent further clinical sequelae including urinary tract infection and pressure ulcers. PMID: 31822168 [PubMed - in process]
Source: British Journal of Hospital Medicine - Category: Internal Medicine Authors: Tags: Br J Hosp Med (Lond) Source Type: research
ConclusionThe combination use could enhance the recovery of DFUs, shorten the treatment duration, and reduce the pain during treatment.
Source: International Journal of Diabetes in Developing Countries - Category: Endocrinology Source Type: research
CONCLUSIONS: Local application of sevoflurane in the wound bed appears to exhibit analgesic, antimicrobial, and positive healing effects. It could be a promising alternative treatment to be included as a therapeutic option for wound care. PMID: 31730517 [PubMed - in process]
Source: Wounds - Category: General Medicine Tags: Wounds Source Type: research
Publication date: Available online 13 November 2019Source: The Journal of Foot and Ankle SurgeryAuthor(s): Alton R. Johnson, Danielle Mooshol, Vikram Thakar, Marie WilliamsAbstractThe purpose of this case study is to describe the surgical treatment of idiopathic ulcerative cutaneous calcinosis or calcinosis cutis of the lower extremity. A 77-year-old Latin American female who reported no significant past medical history presented to our hospital's emergency department from her home complaining of worsening right lower extremity erythema, edema, increased temperature, and pain. It was noted that the patient presented with m...
Source: The Journal of Foot and Ankle Surgery - Category: Orthopaedics Source Type: research
Earlier this year, Medgadget reported on the FDA’s clearance of the SEM Scanner, a device created by Los Angeles-based Bruin Biometrics (BBI). The SEM Scanner is a wireless, handheld device that detects changes in sub-epidermal moisture as an i...
Source: Medgadget - Category: Medical Devices Authors: Tags: Critical Care Exclusive Medicine Plastic Surgery Vascular Surgery Source Type: blogs
Conclusion: The key lessons learned from this experience are being used to develop a new implementation-focused network. Features felt to be especially important for the SCI KMN includes a highly representative governance structure, the use of indicators within an overall evaluation framework and the systematic application of implementation processes with shared learnings supporting each site. PMID: 31573445 [PubMed - in process]
Source: Journal of Spinal Cord Medicine - Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research
[Incontinence-associated dermatitis: a position paper]. Hautarzt. 2019 Sep 19;: Authors: Kottner J, Kolbig N, Bültemann A, Dissemond J Abstract Incontinence-associated dermatitis (IAD) describes damage to the skin caused by repeated and prolonged contact with urine and/or feces. Patients of all ages can be affected; the diagnosis is preferably used in adults and adolescents. The predilection sites are perineal, perianal, the inner thighs and the convex areas of the buttocks. Increased moisture on the skin surface, increased pH, occlusion, feces digestive enzymes and repeated skin cleansing pr...
Source: Der Hautarzt: Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete - Category: Dermatology Tags: Hautarzt Source Type: research
Over the past week, I have blogged about some of the 2019 medical futility disputes that were resolved by the Ontario Consent &Capacity Board. Here is another one. In VB, the family of a 71-year-old patient refused consent to the proposed palliative treatment plan that included removal from ventilator. The CCB sided with the clinicians, finding that the substitute decision makers found it difficult to find that "death was a benefit for VB." The panel determined that "VB’s condition was irreversible and permanent and that she would not experience any quality of life that saw her aware of her surroun...
Source: - Category: Medical Ethics Authors: Tags: Health Care syndicated Source Type: blogs
This article outlines methods that nurses can use to minimise the risk of skin damage, focusing primarily on the prevention of pressure ulcers. It also examines how nurses can work collaboratively with patients, manufacturers and regulatory bodies to reduce the risk of medical device-related skin damage in the future. PMID: 31475500 [PubMed - as supplied by publisher]
Source: Nursing Standard - Category: Nursing Authors: Tags: Nurs Stand Source Type: research
More News: Geriatrics | Internal Medicine | Nutrition | Pain | Pressure Sores | Study | Taiwan Health