MONITOR FOR RESTRAINT RELEASE & EXERCISE FOR THE ELDERLY

监控释放约束

• 批准号: 2423492
• 负责人: Mark B Friedman
• 金额: $ 10万
• 依托单位: AUGMENTECH, INC.
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-09-01 至 1998-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2423492
• 关键词: aging; bioengineering /biomedical engineering; biomedical equipment development; body movement; clinical research; computer program /software; exercise; extended care; frail elderly; geriatric nursing; hip; human subject; nursing care quality; nursing homes; patient monitoring device; restraint; restricted physical activity

Federal and state regulations mandate that restrained residents of long term care (LTC) facilities be released and exercised for at least ten minutes every two hours. Actual compliance by nurses aides in nursing homes is low, but records usually show 100% compliance. Chairbound restrained nursing home residents are usually cognitively impaired and are not effective self advocates. We will enhance an existing low cost, thigh worn, body orientation monitor so that it can record when restrained seated frail elderly are released and allowed to or aided in standing. It will also record the duration of release and we will do research to see if it can be made to distinguish between different types of release activities. If seated restrained LTC residents are not regularly released for repositioning and exercise, they are at very high risk for developing characteristic pressure ulcers. In an environment where care giving is shared by many, without means to rapidly and continuously monitor the process of care giving, meaningful feedback and discussion on ways to improve that care is hampered. We are developing a product that may help reduce the incidence of pressure ulcers on restrained residents of long term care facilities, that helps nurses better manage their aides, and that can be used to effectively investigate and then justify the costs of reliable restraint release and regular resident repositioning. Proposed commercial applications: There are major discrepancies between the actual care delivered by nurses aides and nursing home records that indicate regular restraint release and resident exercise. Our inexpensive wearable monitors will the first practical system to permit nursing homes to institute effective quality assurance programs on non-ambulatory resident restraint release and exercise, and for 3rd party payers to verify mandated care is delivered.

联邦和州的法规要求限制Long的居民 定期护理(LTC)设施将被释放并行使至少10年 每两小时几分钟。护士长在护理中的实际依从性 住房价格较低，但记录通常显示100%符合要求。绑在椅子上 受限制的疗养院居民通常有认知障碍， 不是有效的自我鼓吹者。我们将增强现有的低成本大腿 佩戴，身体定位监控器，以便它可以记录下什么时候被束缚 坐着的虚弱老人被释放，并允许或帮助站立。它 也将记录释放的持续时间，我们将进行研究，看看 它可以区分不同类型的释放 活动。如果坐着的被限制的LTC居民没有定期获释 对于重新定位和锻炼，他们发展的风险非常高 典型的压疮。在一个关心他人的环境中 由许多人共享，但无法快速和持续地监控 给予关怀的过程、有意义的反馈和关于如何 改善这种护理是受阻的。我们正在开发一种可能会有帮助的产品 减少受约束居民压疮的发生率 定期护理设施，帮助护士更好地管理他们的助手，以及 这可以用来有效地调查，然后证明 可靠的约束释放和定期的居民重新定位。 建议的商业应用： 护士提供的实际护理与实际护理之间存在很大差异 助手和疗养院的记录表明定期释放约束和 驻场演习。我们的廉价可穿戴显示器将是第一个 允许养老院建立有效质量的实用制度 非流动居民约束解除和解除的保证方案 演练，并供第三方付款人验证是否提供强制护理。