Reducing restraint use in a nursing home.

Use of physical restraints in U.S. nursing homes has, historically, been quite high. Myths about restraints, e.g., that they prevent falls and injuries, have helped to perpetuate a practice that almost always results in long-term adverse physical and psychological effects for the resident. Recent federal law has severely restricted the use of physical restraints in nursing homes. Changing this practice of nursing home personnel requires a well thought out process and the cooperation of leaders in the facility. CNSs are uniquely qualified to move a facility toward the goal of reducing the use of restraints. Their skills as leaders, educators, change agents, consultants, and systems experts are most essential.