In this study falling incidents, pressure ulcers, malnutrition and the use of psychotropic drugs or restraints are assessed.
Ryden et al. [ 27] found that among 116 residents, the use of psychotropic drugs, physical restraint and living on secured units were differently associated with VAB and PAB.
Psychosocial interventions are first line treatment options and psychotropics or physical restraints should only be used when psychosocial interventions have no or not enough effect.
They would use restraints and psychotropic drugs.
Additionally, registrations of the use of physical restraints and psychotropic drugs are required from the nursing home physician.
At first, characteristics of nursing homes and residents, the prevalence of physical restraints and psychotropic medication will be collected.
Finally, registrations on the use of physical restraints and psychotropic drugs are asked to get insight in the quality of care of the arrangements.
Descriptive data on the cluster, participating residents and prevalence data on physical restraint and psychotropic medication will be collected by a nurse supported by an external investigator.
Mador and colleagues (2004) found that the nursing-based intervention had no effect on agitation, sleep, restraint and psychotropic drug use, length of stay, falls, discharge plans, nursing satisfaction, or next-of-kin satisfaction.
We identified only one study, conducted in 22 nursing homes with 106 residents, that examined the effect of early psychiatric intervention for use of psychotropic drugs and physical restraint (Kotynia-English 2005 [ 18]) (details in Table 6).
