Physical restraints in nursing homes: a review of the literature since the Nursing Home Reform Act of 1987

The use of physical restraints is one of the most negative features of nursing home care. Their use significantly affects the quality of life of residents. In an attempt to limit the use of restraints, the Nursing Home Reform Act (NHRA) of 1987 contained provisions regulating their use. In this article, the authors review the literature on the use and consequences of physical restraints in nursing homes since the passage of the NHRA. First, they describe the history behind the use of restraints and define what is considered to be a physical restraint. Second, they examine the four most common justifications for restraint use. Third, they describe the incidence and prevalence of restraint use. Fourth, they address demographic and clinical characteristics of residents that have been found to be associated with restraint use. Fifth, they examine negative outcomes of restraining residents. Finally, they describe alternatives to using restraints.     

A note: Maximizing the weighted number of just-in-time jobs on a proportionate flowshop

In most cases, an extension of a polynomial time solution of a scheduling problem on a single machine to a proportionate flowshop leads to a similar (polynomial time) solution. One of the rare cases where the problem becomes hard, is that of maximizing the weighted number of Just-in-Time jobs on a proportionate flowshop. We introduce a (pseudo-polynomial) solution algorithm for this problem, which is faster by a factor of n than the algorithm published in the literature. We also introduce a (polynomial time) solution algorithm for the “no-wait” proportionate flowshop.     

CAMMInA: a mobile ambient information system to motivate elders to exercise

Several strategies have been identified for designing effective persuasive technology that encourages people to adopt healthy lifestyle habits. However, to implement these strategies for motivating elders to exercise, we need to take into account the elders’ particular characteristics, their needs, and the problems they face to exercise. This paper presents the results of a case study conducted to identify the factors that influence elders to maintain a regular exercise routine. These results enabled us to inform the design of an ambient information system, which by requiring minimal attention and cognitive effort from elders, makes them aware of relevant information that motivates them to exercise. To reach this end, the system implements the following strategies for persuading: abstraction, historical information and reflection, triggers for exercising, and positive and playful reinforcement. A system usability evaluation enabled us to validate these strategies for motivating elders.