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Arthur H. Dube, MD; Erik K. Mitchell, MD

JAMA. 1986;256(19):2725-2726.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

IN A recent survey of nursing homes, of 183 administrators replying, 181 reported that their homes used restraints.¹ Of 620 patients at our facility, 257 have restraint orders—usually vest or draw-sheet restraints. In view of the widespread use of restraints, we are reporting two patients who strangled on vest restraints.

Report of Cases

CASE 1.—

A 60-year-old woman was admitted on Aug 12, 1981. She had developed gait and speech disturbances 11 years previously. Her neurological disorder progressed, and in April 1981 Huntington's chorea was diagnosed. When she could no longer be cared for at home, she was admitted to our skilled nursing facility. She had periods of great agitation that became continuous despite large doses of haloperidol (Haldol), 3 mg three times a day. She would thrash about and fall out of bed despite having on a vest restraint. After her first year, special pads were made for . . . [Full Text PDF of this Article]

Author Affiliations
From the Van Duyn Home and Hospital, Department of Social Services, County of Onondaga, Syracuse, NY.

Footnotes
Reprint requests to 212 Rockwood PI, Syracuse, NY 13215 (Dr Dube).

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