Geriatrics, Gerontology and Aging (Oct 2024)

Perception of a Multidisciplinary Team on Physical Restraint Use on Older Adults: Care Paradoxes

  • Maria Risiane da Silva Andrade,
  • Marcia Bastos Couto,
  • Ana Carolina Siqueira de Carvalho,
  • Patricia de Fatima Augusto Barros,
  • Romulo DelValle,
  • Rosimere Ferreira Santana

DOI
https://doi.org/10.5327/Z2447-212320202000057
Journal volume & issue
Vol. 14
pp. 181 – 188

Abstract

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OBJECTIVE: To describe the perception of a multidisciplinary team on the use of physical restraint in older adults. METHODS: Qualitative research conducted with 58 health professionals in two long term care facilities for older adults located in the state of Rio de Janeiro, Brazil. Semi-structured interviews were further analyzed using thematic content analysis. The data was collected from November 2017 to June 2018. RESULTS: Twenty-one initial codes were identified and organized in three categories: team perception of the consequences and risks of a physical restraint (the patient's safety paradox); implications of the decision of physical restraint of the older adults; and strategies to restrain and not restrain. CONCLUSIONS: The results reinforce the need for training of professionals on restraint-free alternatives of care, as part promoting a culture of care that respects the right to freedom and the dignity of people — especially the most vulnerable ones.

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