Physical restraint deaths in a 13-year national cohort of nursing home residents

Emma Bellenger, Joseph Elias Ibrahim, Lyndal Bugeja, Briohny Kennedy

Research output: Contribution to journalArticleResearchpeer-review

20 Citations (Scopus)

Abstract

Objective: this paper aims to investigate the nature and extent of physical restraint deaths reported to Coroners in Australia over a 13-year period.Methods: the study comprised a retrospective cohort study of residents dwelling in accredited nursing homes in Australia whose deaths were reported to the Coroners between 1 July 2000 and 30 June 2013 and was attributed to physical restraint.Results: five deaths in nursing home residents due to physical restraint were reported in Australia over a 13-year period. The median age of residents was 83 years; all residents had impaired mobility and had restraints applied for falls prevention. Neck compression and entrapment by the restraints was the mechanism of harm in all cases, resulting in restraint asphyxia and mechanical asphyxia, respectively.Conclusions: this national study confirms that the use of physical restraint does cause fatalities, although rare. Further research is still needed to identify which alternatives strategies to restraint are most effective, and to examine the reporting system for physical restraint-related deaths.
Original languageEnglish
Article numberafw246
Pages (from-to)688-693
Number of pages6
JournalAge and Ageing
Volume46
Issue number4
DOIs
Publication statusPublished - 1 Jul 2017

Keywords

  • Death
  • Nursing homes
  • Older people
  • Physical restraint

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