Effects of removal of physical restraints on psychotropic medication in the nursing home

P. Werner, J. Cohen-Mansfield, J. Farley, G. Segal, S. Lipson

Research output: Contribution to journalArticlepeer-review


Eighty-eight physically restrained residents from a 550-bed long-term care facility participated in a study to evaluate changes in the use of psychotropic medication for residents undergoing removal of physical restraints through the implementation of OBRA '87 regulations Forty-six residents (52%) received at least one psychotropic agent during the study period. A significant decrease was observed in the proportion of these residents receiving antipsychotic drugs (from 59% 4 months before the removal to 37% 4 months after the removal). Results of this study show that: (1) Chemical restraints were not substituted for physical restraints; (2) the decrease in antipsychotic drugs started after the comprehensive evaluation and continued for a considerable period thereafter, (3) the decrease in psychotropic drug use was most pronounced for the use of antipsychotic drugs with residents suffering from dementia.

Original languageEnglish
Pages (from-to)59-71
Number of pages13
JournalJournal of Geriatric Drug Therapy
Issue number4
StatePublished - 1994
Externally publishedYes

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Pharmacology (medical)


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