Skip to main content
. 2021 Dec 3;18(23):12764. doi: 10.3390/ijerph182312764

Table 1.

Data collection grid: brief presentation [28].

Setting: Long-term care; Hospital (unit)
Patient/Resident_____________(number)
During direct observation, was this patient/resident restrained with a physical measure? Yes/No
If yes, indicate one or more option in the list below.
  • Both sides bed rails

  • One side bed rail

  • One side bed rail + the other side near the wall

  • Fixed table on chair

  • Containment pyjamas

  • Unilateral upper-limb wrist belt

  • Bilateral upper-limb wrist belt

  • Unilateral lower-limb ankle belt

  • Bilateral lower-limb ankle belt

  • Abdominal belt in chair sitting

  • Abdominal belt in bed lying

  • Straitjacket

  • Pelvic belt

  • Tight sheet to limit rising

  • Locked the door

  • Other (please indicate)