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Redesign In The Long-Term Care Industry: A Restraint Reduction Or Restraint Elimination Program In The Nursing Home

Author: BILL WILEY
Published in JHHSA, Vol. 23 No. 2

The Nursing Home Reform Act of 1987 required nursing homes in the
United States to modify their use of physical and chemical restraints in
the provision of care to the residents. Nursing home staff members can
restrain only if a medical professional determines that they must
temporarily restrain residents in order to provide care for them. The
author employs the Kast and Rosenzweig model of systems theory to
describe the approaches that nursing homes have taken to implement a
restraint-free or restraint-elimination program. He then describes the
benefits that residents and staff members receive when they participate in
a restraint-reduction of restraint-elimination program.

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