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Opinion and debate the use of physical restraints
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Recommended: Opinion and debate the use of physical restraints
Changes have come over the decades in regards to restraining a dementia patient. This includes both chemical and physical restraint used within care facilities. In this report I wish to compare the two methods and discuss how they are now both encouraged as second tier practices. Physical restraints can include many details, such as waist belts, cot sides on beds, and even the design of tables interlocked with chairs. The rationale was to prevent the person from moving from their current position, attempting to ensure their safety. This also included keeping other patients or staff safe from harm. The negative of these practices is that it placed the person in a higher risk of personal injury, either from falling trying to climb out of a situation
In most facilities an initiative lifestyle has been organized to give people with dementia a voice in how and where they are cared for (White). This is how things should be everywhere in the world when it comes to people with dementia. People affected by this disease don’t need people to tell them what to do or make decisions for them, they need the freedom to do it themselves so they don’t give up. Although incapacity is common, many persons with dementia are capable of making their own medical and research decisions (Kim, Karlawish, and Caine). At the early stages of dementia, a will needs to be made so medical wishes can be granted. When people are given the freedom of choice, they are much happier, they live longer, and they have a better attitude about the disease they are suffering from. Individuals that get dementia did not get it by choice, but they live through it day by day with strength and the ability to live
Albeit LTC facilities are designed to benefit individuals with disabilities, residents in LTC settings are often victims of unethical practices conducted by healthcare employees. Types of abuse commonly seen in long-term care ranges from withholding food from the individual, overdosing residents with medication to keep them calm, withholding individuals from activities, physically beating or spanking residents, and the list goes on. There are many instances where residents are verbally abused, called names, and profanity is used against the individuals. This type of behavior from health care professionals is unacceptable, and these incidents must be
This assignment will identify and evaluate the legal and ethical issues within the health and social care for elderly people with dementia and living in residential homes. It will address the difference between the legal and ethical issues and the impact it has on the person suffering from the disease, their family and the role that the professionals have in decision making for the individual’s wellbeing.
care to the residents suffering from dementia. Banner et al (2009 as cited in Lee J.et al.2012)
Physical restraint, according to Health Care Financing Administration, can be defined as any handling, physical and mechanical methods applied to a patient with the aim of denying him or her the freedom of movement or access to his or her own body (Di Lorenzo et al., 2011). It may involve use of belts or ties that restrain movement of an individual such as seclusion. Seclusion refers to isolation from others, often done in a room that’s I avoid of any furniture and has a small observable window as the only connection to the outside world (Chandler, 2012). The use of physical restraint in handling patients has been on debate for several years now. In most countries such Italy, it
Seclusion and restraint started out in psychiatric hospitals and have now evolved into many schools. Restraint started out in England in the mid 19th century after having a history of poor conditions. Since Americans did not open up their first state- run mental hospital until 1822, they were unaware of the negative history that happened during the British reformation ("Human Side of Hospitals"). The American physicians thought that the restraints were keeping their patients safe when it was actually mistreatment of their patients. Anything that can be used to restrict the movements of a patient is a form of restraint. Things used as restraints can be leather or velcro wristlets or anklets that are used to hold the patient or attach them to their bed, lock them in their room, or by using sedating chemicals.
Of nursing home staff interviewed in 2004, nearly 40% admitted to committing at least one psychologically abusive act toward a resident and 10% admitted to physically abusing a resident in the preceding year.[1] Not only are nursing home residents at risk of being abused by their caretakers but they are also at risk of being restrained, which may lead to a form of abuse. With five percent of the elderly population, or one to two million instances of elder abuse occurring yearly there is no doubt that elder abuse deserves serious consideration.[2]
This literature review is focusing on discussing the effects of seclusion and restraints on treatment consequences of patients in mental health area. Seclusion and Restraint are used for controlling the behavioral patterns of the mentally ill patients in different surroundings consisting of psychiatric management facilities and hospitals (Kentley, 2009). Over past decade, comprehensible consensus has come out that seclusion and restraints are secure interventions of last alternative and application of those interventions should and can be diminished significantly (Knight, 2011). However, recent studies indicated that it is traumatic for patients experiencing or witnessing restraint and seclusion traumatic; patients can feel high levels of anxiety, fear, and anger once aware that restraint is going to take place, sometimes it could resulting in an exacerbation of patient’s mental status (Stewart et al, 2010). Due to the humanitarian, ethical, and legal issues which could lead to, seclusion and restraints are known as the most controversial management strategies (Holmes, Kennedy & Perron, 2004). Previous studies and researches could not analyze this topic adequately; thus, further researches and studies related to the effects and risk managements of using seclusions and restrains will be discussed in below.
Butler, R. (2008). The Carers of People with Dementia. BMJ: British Medical Journal , 336, 1260-1261.
Though elderly abuse occurs in many nursing homes, it is preventable. It is the nursing aide 's responsibility to provide quality and comfortable care, free from abuse. Many people are not aware that there are several other types of abuse in addition to physical abuse and many are not aware of the signs. If abuse should occur, anyone who suspects or witnesses the abuse is responsible for reporting it. Knowing the types of abuse, being aware of the signs, and reporting incidents are all ways to prevent abuse in nursing homes.
The human brain is extraordinary organ. It stores our memories, vision, hearing, speech, and capable of executing executive higher reasoning and functions setting us apart from animals. Today we know more about the human brain because of medical advances and the development of technology. These brain disorders have been studied for years and many others would classify dementia as a mental illness because it causes cognitive impairments. The following paragraphs will discuss what dementia is, what the types of dementia are, perspectives of patients with dementia as well as the perspective of a caregiver to a dementia patient.
Every older people suffering from dementia or any mental illness should contribute to decision-making process if able on about the services the resident gets and is empowered to practice choice and control over his or her way of life. Healthcare professionals need to offer residents with dementia significant parts in making their own particular care plans. We should give the majority of the residents as much decision as possible around both their care and environment.
Nursing Home Abuse With over 1.5 million elderly and dependent adults now living in nursing homes throughout the country, abuse and neglect has become a widespread problem. Even though some nursing homes provide good care, many are subjecting helpless residents to needless suffering and death. Most residents in nursing homes are dependent on the staff for most or all their needs such as food, water, medicine, toileting, grooming- almost all their daily care. Unfortunately, many residents in nursing homes today are starved, dehydrated, over-medicated, and suffer painful pressure sores. They are often isolated, ignored, and deprived of social contact and stimulation.
In 2001, over 450 million people worldwide suffered from mental illness (World Health Organisation, 2001) and these numbers have increased by a wide margin since then. Using restraints in treatment for those who are mentally ill is a topic that creates a large amount of controversy. Many are concerned with how the use of restraints can affect the person and if they are necessary or if alternative measures could be used. The National Alliance of Mental Illness has indicated their position on restraints, “The use of involuntary mechanical or human restraints or involuntary seclusion is only justified as an emergency safety measure in response to imminent danger to a patient or others.” (The National Alliance of Mental Illness, 2001) There have
Introduction This assignment critically discusses dementia, a widespread disability among older adults today. It provides an introduction to dementia and analyses its prevalence in society. The various forms of dementia are elaborated with descriptions of dysfunctions and symptoms. Nursing Assessment and Interventions are provided in the further sections which discuss actions nurses should take while evaluating patients and treating them.