Which intervention is contraindicated in preventing the geriatric cascade due to iatrogenic effects?

Which intervention is contraindicated in preventing the geriatric cascade due to iatrogenic effects?

• A. Frequent assessment of pressure ulcers
• B. Use of physical and chemical restraints
• C. Monitoring risk of thrombophlebitis
• D. Monitoring confusion

Answer: (B)

Using physical or chemical restraints is not only ineffective for preventing iatrogenic problems in older adults, it actually increases harm. Restraints contribute to immobility, which accelerates muscle loss and deconditioning, and they raise the risk of pressure ulcers, urinary retention, incontinence, constipation, respiratory problems, and dehydration. They can trigger or worsen delirium by limiting interaction, increasing confusion, and causing distress when removed or reapplied. In short, restraints often create more harm than protection and fail to address the underlying needs or risks that lead to iatrogenic complications. Frequent assessment of pressure ulcers, monitoring risk of thrombophlebitis, and monitoring confusion are appropriate approaches because they target common issues that arise with aging and immobilization, allowing early intervention to prevent complications.

Using physical or chemical restraints is not only ineffective for preventing iatrogenic problems in older adults, it actually increases harm. Restraints contribute to immobility, which accelerates muscle loss and deconditioning, and they raise the risk of pressure ulcers, urinary retention, incontinence, constipation, respiratory problems, and dehydration. They can trigger or worsen delirium by limiting interaction, increasing confusion, and causing distress when removed or reapplied. In short, restraints often create more harm than protection and fail to address the underlying needs or risks that lead to iatrogenic complications.

Frequent assessment of pressure ulcers, monitoring risk of thrombophlebitis, and monitoring confusion are appropriate approaches because they target common issues that arise with aging and immobilization, allowing early intervention to prevent complications.