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Minimising the use of restraint in care homes for older people: exploring restraint


In this programme, two experts watch and discuss a number of scenarios filmed in a care home setting which explore different aspects of the complex issue of restraint. They examine the blatant and more subtle ways that restraint can be used by care home staff to control and how this fails to provide person-centered care.

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Readers' comments (3)

  • l am of the opinion that the issue to be addressed and given top piority is shortage of nurses in our health care sectors which make ratio of allocated patients to nurses very wide,nothing should stop a nurse walking and charting with her resident while taking a stroll,the resident may be bored,tired and feel like taking a stroll,its therapeutic,it prevents agitation,restlessness,aggression,violence, etc hence preventing the use of restraints but in a situation that a nurse has back logs of things to do where can she create the time? though in some situation its use is unavoidable.Thanks

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  • Excellent video, but uncomfortable watching. The comments about time and resources are so true. It also seems hard in a busy hospital ward to balance what you know is better care with all the hospital constraints/concerns about patient safety.

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  • As a nurse working in a care home, I found the first two videos in this series laudable - however, I find this one highly offensive. It stereotypically portrays care homes as an uncaring environment where residents are treated with disrespect by uncaring staff. Although I accept that some homes operate in this way - most don't.
    We operate a person centred approach - there is no particular bedtime and residents go to bed when they wish. If they wake up in the middle of the night and want refreshments - they are provided with them.
    There are two different sittings for meals - purely to prevent flash points as some residents are distressed by the eating habits of fellow residents. All residents individual needs must be catered for.
    I find the suggestion that there should be an open door to the garden unrealistic and foolish. There is not one to one staffing - we have a staff/resident ratio of 1:3 - and it would be impossible to safeguard a particular resident or residents without a staff presence. We have to consider the needs of all residents, ie: a person-centred approach and the safety all residents remains paramount at all times and takes precedence over the individuals rights. This is a risk assessment.
    There has to be a certain amount of structure or routine if you like - otherwise chaos would ensue.
    We care for and love our residents - but accept that our residents are a cross section of society - each with their own idiosyncratic presentations. However caring we are, at times conflict between residents occurs, as all residents are human and therefore have their own personalities.

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