{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T15:21:06Z","timestamp":1695482466164},"reference-count":48,"publisher":"Wiley","issue":"17-18","license":[{"start":{"date-parts":[[2011,8,10]],"date-time":"2011-08-10T00:00:00Z","timestamp":1312934400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2011,9]]},"abstract":"<jats:p><jats:bold>Aim.\u2002<\/jats:bold> To establish whether a professional consensus can be established amongst musculoskeletal physiotherapists or whether they believe certain physical intervention techniques would cause pain or injury if applied to an older adult.<\/jats:p><jats:p><jats:bold>Background.\u2002<\/jats:bold> Physiotherapist involvement in the context of a multidisciplinary team framework to develop adaptive techniques as required for complex physical presentations has resulted in lower injury rates than in working\u2010age adults. Physiotherapists are experts in anatomy and human movement and are ideally placed to contribute to the safe application of physical intervention in older adults.<\/jats:p><jats:p><jats:bold>Design.\u2002<\/jats:bold> A survey design was used.<\/jats:p><jats:p><jats:bold>Method.\u2002<\/jats:bold> A questionnaire was developed and tested to ascertain the physiotherapist\u2019s opinions of the likelihood of each technique causing the patient pain and\/or injury. The lead author distributed 41 questionnaires to physiotherapists in two busy hospitals in the UK.<\/jats:p><jats:p><jats:bold>Results.\u2002<\/jats:bold> Thirty\u2010four (83%) of physiotherapists returned the completed questionnaires. The physiotherapists had particular concerns about the use of wrist flexion and kneeling on the older adult in prone causing pain and\/or injury. Some other techniques that we have advocated in our earlier research were approved by many of the respondents, e.g. supporting the forearm with both hands proximal to the wrist joint. None of the physiotherapists had attended a physical intervention course or applied it in the clinical setting, thus enabling them to analyse the techniques purely from a biomechanical movement perspective. Implications for nursing practice are discussed.<\/jats:p><jats:p><jats:bold>Conclusions.\u2002<\/jats:bold> It is anticipated that this research will stimulate nurses and course providers to develop patient group\u2010specific physical intervention techniques and thus reduce the risk of causing them pain and\/or injury.<\/jats:p><jats:p><jats:bold>Relevance to clinical practice.\u2002<\/jats:bold> This study reaffirms the heightened risks associated with applying restraint techniques to older adults. An issue that needs to be addressed is whether the duty of care which is explicit and implicit within the relationship between nurse and patient is to be fully discharged. It also reinforces prior research that has called for patient\u2010specific physical intervention techniques and highlights some commonly used techniques that may have a deleterious effect on aggressive older adults. It also identifies the professional support that physiotherapists can offer to teams implementing physical intervention techniques within the context of clinical practice.<\/jats:p>","DOI":"10.1111\/j.1365-2702.2011.03738.x","type":"journal-article","created":{"date-parts":[[2011,8,11]],"date-time":"2011-08-11T01:48:46Z","timestamp":1313027326000},"page":"2666-2675","source":"Crossref","is-referenced-by-count":5,"title":["Are physical intervention techniques likely to cause pain or injury when applied to manage the severely aggressive older adult? A survey of physiotherapist\u2019s expert views in the UK"],"prefix":"10.1111","volume":"20","author":[{"given":"Brendon","family":"Stubbs","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lee","family":"Hollins","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,8,10]]},"reference":[{"key":"e_1_2_19_2_1","unstructured":"Alzheimer\u2019s Society(2010)Statistics. Available at:http:\/\/www.alzheimers.org.uk\/site\/scripts\/documents_info.php?categoryID=200120&documentID=341(accessed 6 September 2010)."},{"key":"e_1_2_19_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqm142"},{"key":"e_1_2_19_4_1","unstructured":"CairdFI&Grimley EvansJ(2005)Medicine in old age.Concise Oxford Textbook of Medicine 4th edn.Oxford University Press Oxford."},{"key":"e_1_2_19_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2007.01.013"},{"key":"e_1_2_19_6_1","unstructured":"Counter Fraud and Security Management Service(2008)2008\u20139 Figures Released on Reported Assaults Against NHS Staff in England. Available on:http:\/\/www.nhsbsa.nhs.uk\/2948.aspx(accessed 22 June 2011)."},{"key":"e_1_2_19_7_1","doi-asserted-by":"publisher","DOI":"10.1192\/apt.10.3.171"},{"key":"e_1_2_19_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744629505049726"},{"key":"e_1_2_19_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04169.x"},{"key":"e_1_2_19_10_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S1698"},{"key":"e_1_2_19_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.jom.0000141658.91805.47"},{"key":"e_1_2_19_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2850.2009.01412.x"},{"key":"e_1_2_19_13_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.1.162"},{"key":"e_1_2_19_14_1","volume-title":"Gareth Myatt Briefing","author":"Inquest","year":"2007"},{"key":"e_1_2_19_15_1","volume-title":"Shattered Assumptions: Towards A New Psychology of Trauma","author":"Jannoff\u2010Bulman R","year":"1992"},{"key":"e_1_2_19_16_1","volume-title":"House of Lords and House of Commons Joint Committee on Human Rights The Use of Restraint in Secure Training Centres","author":"Joint Committee on Human Rights","year":"2008"},{"key":"e_1_2_19_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2850.2007.01226.x"},{"key":"e_1_2_19_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/02678379808256857"},{"key":"e_1_2_19_19_1","doi-asserted-by":"publisher","DOI":"10.1348\/014466503322528937"},{"key":"e_1_2_19_20_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.156.1.66"},{"key":"e_1_2_19_21_1","doi-asserted-by":"crossref","first-page":"1406","DOI":"10.1176\/ps.2008.59.12.1406","article-title":"Reduction of restraint and seclusion through collaborative problem solving: a five year prospective inpatient study","volume":"59","author":"Martin A","year":"2008","journal-title":"Psychiatric Services"},{"key":"e_1_2_19_22_1","volume-title":"Violence: The Short\u2010Term Management of Disturbed\/Violent Behavior in In\u2010Patient Psychiatric Settings and Emergency Departments","author":"National Institute of Clinical Excellence","year":"2005"},{"key":"e_1_2_19_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2004.03286.x"},{"key":"e_1_2_19_24_1","unstructured":"Nethersole School of Nursing(2006)Experience in and attitude towards the use of restraints on demented patients among the nursing staff. Jockey Club Centre for Positive Ageing English Release Report."},{"key":"e_1_2_19_25_1","unstructured":"Office for National Statistics(2010)Ageing. Available at:http:\/\/www.statistics.gov.uk\/cci\/nugget.asp?id=949(accessed 12 September 2010)."},{"key":"e_1_2_19_26_1","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.107.016436"},{"key":"e_1_2_19_27_1","doi-asserted-by":"publisher","DOI":"10.1108\/14636646200200005"},{"key":"e_1_2_19_28_1","doi-asserted-by":"publisher","DOI":"10.7748\/ldp2007.04.10.3.30.c4263"},{"key":"e_1_2_19_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7489(99)00046-2"},{"key":"e_1_2_19_30_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2850.2003.00523.x"},{"key":"e_1_2_19_31_1","volume-title":"Violence: The Short\u2010Term Management of Disturbed\/Violent Behaviour in In\u2010Patient Psychiatric Settings and Emergency Departments","author":"Royal College of Nursing","year":"2006"},{"key":"e_1_2_19_32_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa061240"},{"key":"e_1_2_19_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/10778010122182550"},{"key":"e_1_2_19_34_1","doi-asserted-by":"publisher","DOI":"10.1108\/14636646200200003"},{"key":"e_1_2_19_35_1","first-page":"66","article-title":"Just how challenging can older people be? Part 2: making the case for specialist services for risky and aggressive behavior","volume":"103","author":"Stewart I","year":"2008","journal-title":"PSIGE Newsletter"},{"key":"e_1_2_19_36_1","doi-asserted-by":"crossref","first-page":"12","DOI":"10.7748\/mhp.12.1.12.s15","article-title":"Physical intervention","volume":"12","author":"Stubbs B","year":"2008","journal-title":"Mental Health Practice"},{"key":"e_1_2_19_37_1","article-title":"Injuries to staff from the implementation of physical intervention to manage aggression: an analysis of 1614 incidents of restraint","author":"Stubbs B","year":"2010","journal-title":"Journal of Psychiatric and Mental Health Nursing"},{"key":"e_1_2_19_38_1","article-title":"Physical assault exhibition and physical intervention use to manage aggression in adolescents with intellectual disability: data from the United Kingdom","author":"Stubbs B","year":"2010","journal-title":"Journal of Child and Adolescent Mental Health"},{"key":"e_1_2_19_39_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610209990019"},{"key":"e_1_2_19_40_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699050802270022"},{"key":"e_1_2_19_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2009.04.005"},{"key":"e_1_2_19_42_1","first-page":"1","article-title":"The safe application of physical interventions in aggressive older adults: considerations from the physiotherapy profession","volume":"9","author":"Stubbs B","year":"2010","journal-title":"International Psychogeriatrics"},{"key":"e_1_2_19_43_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610208007047"},{"key":"e_1_2_19_44_1","doi-asserted-by":"publisher","DOI":"10.12968\/ijtr.2008.15.1.27944"},{"key":"e_1_2_19_45_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610208007849"},{"key":"e_1_2_19_46_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns.6.52.30.s39"},{"key":"e_1_2_19_47_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2002.02269.x"},{"key":"e_1_2_19_48_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0447.106.s412.31.x"},{"key":"e_1_2_19_49_1","doi-asserted-by":"publisher","DOI":"10.1002\/ab.20052"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1365-2702.2011.03738.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1365-2702.2011.03738.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,31]],"date-time":"2023-08-31T03:32:28Z","timestamp":1693452748000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1365-2702.2011.03738.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,8,10]]},"references-count":48,"journal-issue":{"issue":"17-18","published-print":{"date-parts":[[2011,9]]}},"alternative-id":["10.1111\/j.1365-2702.2011.03738.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1365-2702.2011.03738.x","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,8,10]]}}}