Restraint reduction in orthopaedics.

Restraint reduction is a challenge, especially when working with an elderly population. This article describes one orthopaedic unit's successful restraint reduction program. The role of the nurses on the unit is discussed, along with forms that were helpful and the fact that the reduction program fit into the Performance Improvement Plan for the institution. The most frequently used and successful alternatives are discussed. A restraint/seclusion data collection form has been highlighted. Finally, areas for additional research are suggested.