Rights, risk, and restraint-free care of older people : person-centred approaches in health and social care

The restraint of older people is a pressing issue for health and social care practice. This book provides health and social care professionals with an authoritative reading resource on the ethics and use of restraint. The book provides an overview of the different forms of restraint, the conditions under which they are used, and their implications for the health and wellbeing of older people. Practical approaches to minimising are then explored, underlining the importance of person-centred care. Innovative programmes and approaches to reducing the use of restraint from around the world are described and assessed, and case studies are drawn upon to highlight practice challenges and their effective resolutions. The perspectives of older people and their carers and families, as well as of professionals, commissioners and regulators of health and social care, are also taken into account. The contributors are drawn from an international range of health and social care settings, as well as from the academic world. This in-depth volume will help health and social care professionals better understand the complex issues that surround the use of restraint, support practice that puts older people at the centre of decision-making about their care, and enable services to provide safer and more appropriate care. Physical restraint and medical intervention / David Evans Covert medication and chemical restraint / Carmel M. Hughes and Kate I. Lapane Pennsylvania's non-restraint approach to psychiatric care and services / Gregory M. Smith ... [et al.] Restraint : the US nursing home perspective / Beryl D. Goldman ... [et al.] Ethical dilemmas in maintaining enteral feeding : the use of hand-control mittens / Jane Williams Do we need drugs? Strategies to reduce the over-prescription of drugs in a care home supporting people with dementia The therapy of companionship / Jim Ellis Health and safety perspectives / Stephen Clarke Human rights perspectives / Rhidian Hughes Clinical-ethical considerations on the use of physical restraint / Chris Gastmans Changing restraint use : discourses in restraint / Kate Irving Therapeutic approaches and de-escalation techniques / Suparna Madan and Pat Rowe Wander-walking and people with dementia / Jan Dewing and Heather Wilkinson Preventing falls and avoiding restraint / Samuel R. Nyman and David Oliver Using evidence-based knowledge to avoid physical restraint / Sascha Köpke ... [et al.] Reducing restraint : the benefits of education and training / Ingelin Testad and Dag Aarsland. This book provides health and social care professionals with an authoritative reading resource on the ethics and use of restraint. It provides an overview of the different forms of restraint, the conditions under which they are used, and their implications for the health and wellbeing of older people This text provides an overview of the different forms of restraint, the conditions under which they are used, and their implications for the health and wellbeing of older people