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The Historical Mirror: Restraining the Troublesome Patient A Historical Perspective on a Contemporary Debate

The Historical Mirror: Restraining the Troublesome Patient A Historical Perspective on a... THE HISTORICAL MIRROR Restraining the Troublesome Patient A Historical Perspafive on a Contemporary Debate NBVILLB E. STRUMPP Schml of Nursing University of Pennsylvania NANCY TOMBS History Department State University of New York at Stony Brook In recent years thc American public and the nursing profession have con- bnted what might aptly be termed a restraint crisis. A steady saeam of artides in newspapers and magazines has provided readers with horror scoria of elderly, mentally dl, and retarded patients physically ded for long periods of time in hospitals and nursing homes. For example, a Wd Sm Jd article chroniclug a week in a Florida nursing home de- scribed a seventy-si~-~-old former schoolteacher "smggh~to free her- self from a belt tying her to what looks like an adult highchair mounted on small whwls."l Based on statistid evidence for dt use among the elderly, such incidents of individual abuse are probably repeated many times. In 1977 a national survey of nursing homes indicated that 25 pacent of z,jo3,ow residents were regularly restrained. By 1988 the figure had risen to 41.3 pcent of skilled nursing home residents and 31.7 perrent of inmediare care facility residents resmincd at some point in a twenty-four hour http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Nursing History Review Springer Publishing

The Historical Mirror: Restraining the Troublesome Patient A Historical Perspective on a Contemporary Debate

Nursing History Review , Volume 1 (1): 22 – Jan 1, 1993

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Publisher
Springer Publishing
ISSN
1062-8061
eISSN
1938-1913
DOI
10.1891/1062-8061.1.1.3
Publisher site
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Abstract

THE HISTORICAL MIRROR Restraining the Troublesome Patient A Historical Perspafive on a Contemporary Debate NBVILLB E. STRUMPP Schml of Nursing University of Pennsylvania NANCY TOMBS History Department State University of New York at Stony Brook In recent years thc American public and the nursing profession have con- bnted what might aptly be termed a restraint crisis. A steady saeam of artides in newspapers and magazines has provided readers with horror scoria of elderly, mentally dl, and retarded patients physically ded for long periods of time in hospitals and nursing homes. For example, a Wd Sm Jd article chroniclug a week in a Florida nursing home de- scribed a seventy-si~-~-old former schoolteacher "smggh~to free her- self from a belt tying her to what looks like an adult highchair mounted on small whwls."l Based on statistid evidence for dt use among the elderly, such incidents of individual abuse are probably repeated many times. In 1977 a national survey of nursing homes indicated that 25 pacent of z,jo3,ow residents were regularly restrained. By 1988 the figure had risen to 41.3 pcent of skilled nursing home residents and 31.7 perrent of inmediare care facility residents resmincd at some point in a twenty-four hour

Journal

Nursing History ReviewSpringer Publishing

Published: Jan 1, 1993

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