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American Journal of Medical Quality
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The Impact of Restraints on Nursing Home Resident Outcomes

Charles B. Moseley, Ph.D.

Department of Health Care Administration, University of Nevada, Las Vegas, Nevada

This article is an examination of the impact of phys ical restraints on physical activities of daily living (PADL), walking, and orientation to reality outcomes among nursing home residents. Computerized assess ment data for a cohort of 5073 Virginia Medicaid nurs ing home admissions with complete data for their first and second post-admission assessments were analyzed. Multiple regression analysis was used to compare the outcomes of restrained and nonrestrained residents, after controlling statistically for the influence of case mix variables that might impact outcomes. Restraint use was associated with increased PADL dependence and dis orientation for residents restrained at their first and second assessments, both assessments, and either as sessment. Restraint was associated with increased walk ing dependence for residents restrained at their second assessment and either assessment.

American Journal of Medical Quality, Vol. 12, No. 2, 94-102 (1997)
DOI: 10.1177/0885713X9701200203
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