| Behavior management on an acute brain injury unit: evaluating the effectiveness of an interdisciplinary training program. | |
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MedLine Citation:
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PMID: 18815507 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To measure the effect of behavior management training on restraint use and prn medication delivery on an acute inpatient brain injury unit. SETTING/PARTICIPANTS: Interdisciplinary staff and hospitalized brain injury patients on a 20-bed unit within a freestanding rehabilitation hospital. INTERVENTION: Staff participated in the Nonviolent Crisis Intervention (NCI) program from the Crisis Prevention Institute. MAIN OUTCOME MEASURES: Applied physical restraints and delivered prn medications. RESULTS: Despite comparable patient levels of agitation severity across the duration of the study, the use of physical restraints initially declined and then increased after training. Data collected on prn medication delivery also indicated a trend for an increase in the delivery of select medication categories across time. CONCLUSION: NCI training resulted in a temporary, short-lived reduction in physical restraint use, but had an inverse effect on prn medication delivery for select categories of medication. Medication delivery significantly increased over time and restraint use eventually exceeded baseline level. Ramifications of these results are discussed. |
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Authors:
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Cynthia Beaulieu; Jeffrey C Wertheimer; Lee Pickett; Louise Spierre; Tonya Schnorbus; Wendy Healy; Candace Palmer; Amy Jones |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of head trauma rehabilitation Volume: 23 ISSN: 1550-509X ISO Abbreviation: J Head Trauma Rehabil Publication Date: 2008 Sep-Oct |
Date Detail:
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Created Date: 2008-09-25 Completed Date: 2009-01-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8702552 Medline TA: J Head Trauma Rehabil Country: United States |
Other Details:
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Languages: eng Pagination: 304-11 Citation Subset: IM |
Affiliation:
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Brain Injury Program, Brooks Rehabilitation Hospital, Jacksonville, FL 32216, USA. cynthia.beaulieu@brookshealth.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aggression* Anti-Inflammatory Agents, Non-Steroidal / administration & dosage Anticonvulsants / administration & dosage Antidepressive Agents / administration & dosage Antipsychotic Agents / administration & dosage Behavior Therapy Benzodiazepines / administration & dosage Brain Injuries / psychology*, rehabilitation* Confusion Crisis Intervention Female Humans Inpatients / psychology Inservice Training* Male Middle Aged Psychiatric Department, Hospital Psychotic Disorders / rehabilitation Restraint, Physical / statistics & numerical data*, utilization |
| Chemical | |
Reg. No./Substance:
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0/Anti-Inflammatory Agents, Non-Steroidal; 0/Anticonvulsants; 0/Antidepressive Agents; 0/Antipsychotic Agents; 12794-10-4/Benzodiazepines |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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