Registered Nurses' Association of Ontario

Approaches to Prevent Treatment Interference (Older Adults)

Best practice approaches to prevent treatment interference in the older adult:

Non Restraint Strategies to Prevent Treatment Interference in Adults

Explanation and Reminders

• Frequent verbal explanation

• Guided visualization of device

• Written reminder

Distraction and Diversion

• Activity apron

• Occupational therapy consult

• Writing tools

• Reading material

• Gadgets

• Photo albums

• Washcloths

• Empty tubing/packaging

• Music

• Television


• Long sleeved gowns

• Generous tape, ace wrap or dressings at site

• Commercial device-protective, cushioned sleeve, or IV site guard

• Abdominal binder

• Tubing out of visual field

Comfort and Positioning

• Repositioning/specialty mattress

• Tube stabilizer

• Augmentative communication

• Analgesia/sedation

• Aromatherapy

• Massage/touch therapies

Technologic Reduction

• Discontinue nonessential devices

• Intravenous adaptor

• Replace with less restrictive/less intrusive device


• Maximize Visualization

• Video camera

• Noise reduction

• Family presence

• Sitter/companion

Clinical Management
Promoting Safety: Alternative Approaches to the Use of Restraints
Point of Care Resources