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- W2056527443 abstract "In Reply. —The thoughtful letter by Pies questions the appropriateness of equating pharmacologic restraint with a standing order for a major or minor tranquilizer or sedative-hypnotic drug. This is certainly a controversial area. As pointed out by Pies and noted in our Comment section, such medications have known therapeutic purposes. Therefore, their use does not necessarily constitute poor medical care. The difficulty in defining pharmacologic restraint is reflected by the fact that no specific medications or classes of drugs are mentioned in the wording of the Nursing Reform Act in the Omnibus Reconciliation Act of 1987. Current regulations involve only major tranquilizers, such as haloperidol. There is no doubt, however, that a variety of other medications are prescribed primarily to control patient behaviors and thus can be considered as pharmacologic restraint.1 It must be remembered that in our study, all subjects were nursing home patients with Alzheimer's disease or" @default.
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- W2056527443 date "1991-07-10" @default.
- W2056527443 modified "2023-09-26" @default.
- W2056527443 title "Pharmacologic Restraint vs Therapeutic Intent-Reply" @default.
- W2056527443 cites W1983205228 @default.
- W2056527443 doi "https://doi.org/10.1001/jama.1991.03470020042022" @default.
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