Restraint, Physical

Publication Title: 
Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality

This article describes a process developed by Eastern Mercy Health System (EMHS), headquartered in Radnor, PA, to identify opportunities for quality improvement using defined outcome-based indicators in skilled nursing and long-term care (SN/LTC). The model is built on collaboration among the system's freestanding and hospital-based facilities; it includes a cyclical approach to the exchange of information.

Author(s): 
Denny, D. S.
Christian, V.
Nordan, V. N.
Therriault, M. F.
Publication Title: 
Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality

This article describes a knowledge transfer process that was developed by Catholic Health East (CHE), headquartered in Newtown Square, PA, and that focuses upon one indicator of care, physical restraint use, in the skilled nursing/long-term care setting. The values-based process focuses on preserving residents' rights and using comparative data sharing as the basis for identifying opportunities for improvement. Further, it builds upon a collaborative cyclical model employed by all the CHE System's freestanding and hospital-based long-term care facilities.

Author(s): 
Carroll-Solomon, P. A.
Christian, V.
Denny, D. S.
Nordan, V. N.
Therriault, M. F.
Van Wicklen, R.
Publication Title: 
Journal of the Irish Dental Association

In August, 1995 dental treatment was provided in an orphanage in Romania. This treatment took place over three weeks using three different dentists. Two dental nurses served for full the duration. For the last two weeks the team was joined by a dental health educator. All have given accounts of their time in Romania. The patients had various degrees of handicap but generally co-operation for treatment was poor. Most patients needed pre-operative sedation of oral valium. A papoose board was used for restraint.

Author(s): 
Fanning, B.
Gorby, R.
Henshaw, M.
O'Neill, A.
Treacey, C.
Vaughan, K.
Publication Title: 
The Indian Journal of Medical Research
Author(s): 
Bhattacharya, S. K.
Bhattacharya, D.
Publication Title: 
Pain

Acute physical restraint represents a potent stressor in several animal species and is accompanied by a complex pattern of hormonal responses and functional changes in the central nervous system. Repeated immobilization leads to partial blunting of the behavioral and hormonal responses, with transient modifications of neurotransmitter systems in the brain.

Author(s): 
Porro, C. A.
Carli, G.
Publication Title: 
Doklady Akademii nauk SSSR
Author(s): 
Shvets-Ténéta-Guri?, T. B.
Publication Title: 
Physiology & Behavior

A series of experiments in male rabbits examined the influence of tonic immobility (animal hypnosis) on the opioid and pituitary-adrenal hormones. The aims of the experiments were to follow the temporal modifications in hormone parameters and to discriminate the effects of immobility from those of the manipulative procedure to induce the reaction. Results show that immobility elicits increases in plasma ACTH and beta-EP, but no modifications in pituitary beta-EP.

Author(s): 
Farabollini, F.
Facchinetti, F.
Lupo, C.
Carli, G.
Publication Title: 
Zhurnal Vysshe? Nervno? Deiatelnosti Imeni I P Pavlova

By the method of forced immobilization the rabbits were brought into the state of "animal hypnosis" (immobilization reflex), and their ECoG was recorded, which was further processed on the computer. It was found that during hypnosis a functional interhemispheric brain asymmetry was developed in rabbits with activity predominance in the right hemisphere. The "animal hypnosis" is a phasic process: in the ECoG of the rabbit under hypnosis a regular alternation of delta and theta activity takes place.

Author(s): 
Petrova, E. V.
Luchkova, T. I.
Kuznetsova, G. D.
Publication Title: 
Zhurnal Vysshe? Nervno? Deiatelnosti Imeni I P Pavlova

The study of the interaction between the "animal hypnosis" and hunger dominant after its multiple creation showed that the first applications of the forced immobilization against the background of hunger dominant optimum elicited the long-lasting hypnotic state of the animal (4-20 minutes). The hunger dominant was retained in hypnotic state of the animal, i.e., the testing stimuli produced summation swallowing and masticatory movements.

Author(s): 
Malikova, A. K.
Pavlygina, R. A.
Publication Title: 
Neuroscience Letters

We hypothesized that functional changes in the GABAergic system induced by stress would differ between two inbred mouse strains BALB/cByJ and C57BL/6J. We compared the effects of restraint stress and of the anxiolytic drug etifoxine (EFX) on the duration of pentobarbital-induced loss of righting reflex (hypnotic effect) in the two strains. Naive BALB/cByJ mice were less sensitive than naive C57BL/6J mice to the hypnotic effect of pentobarbital.

Author(s): 
Verleye, Marc
Heulard, Isabelle
Nuss, Philippe
Gillardin, Jean-Marie

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