What may not be used as a substitute for staff effort in a nursing home?

Restraints may not be used as a substitute for staff effort in a nursing home because their primary purpose is to limit a resident's freedom of movement, not to supplement the care provided by staff. The use of restraints should be a last resort and only be implemented when absolutely necessary for the safety of the resident or others, in accordance with established guidelines and regulations. Relying on restraints instead of proper staff intervention undermines the quality of care and can lead to negative outcomes for residents, including physical and psychological harm.

In contrast, medications can be an integral part of a resident's care plan, equipment can aid in the care and function of residents, and volunteers often provide valuable support in enhancing the quality of life in a nursing home. These resources should complement, rather than replace, the essential efforts of trained staff.