Restrictive Practice in Older Adult Care

Research output: Contribution to conferenceLecture

Abstract

NICE (2007) stated that there are approximately 700,000 people in the UK with Dementia. Astonishingly the likelihood of people with Down syndrome developing dementia increases to 75% when they are over the age of 65, (Rasher, 2005). Older People with learning disabilities are also more likely to develop dementia earlier in their later life when compared to the general population, (Department of Health, 2009). The management of behaviours related to Dementia has recently become a subject of much scrutiny (Anti-psychotic medications, mechanical devices, inappropriate use of physical intervention). The use of restrictive practices when supporting people with learning disabilities who do not have dementia is widely reported upon and researched, however in line with this research and guidance there is the acceptance that if these practices are used, then it follows a comprehensive assessment of the individual; and that the aim is to reduce the use of restrictive practices. The assessment and justification of restrictive practices within dementia services appears to be less co-ordinated.
Original languageEnglish
Publication statusPublished - 12 Nov 2015
EventCPI Conference 2015: Reducing restraint through policy and practice - Aston University, Birmingham, United Kingdom
Duration: 12 Nov 201513 Nov 2015

Conference

ConferenceCPI Conference 2015: Reducing restraint through policy and practice
CountryUnited Kingdom
CityBirmingham
Period12/11/1513/11/15

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dementia
learning disability
Down Syndrome
medication
acceptance
health
management

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Ridley, J. (2015). Restrictive Practice in Older Adult Care. CPI Conference 2015: Reducing restraint through policy and practice, Birmingham, United Kingdom.
Ridley, James. / Restrictive Practice in Older Adult Care. CPI Conference 2015: Reducing restraint through policy and practice, Birmingham, United Kingdom.
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title = "Restrictive Practice in Older Adult Care",
abstract = "NICE (2007) stated that there are approximately 700,000 people in the UK with Dementia. Astonishingly the likelihood of people with Down syndrome developing dementia increases to 75{\%} when they are over the age of 65, (Rasher, 2005). Older People with learning disabilities are also more likely to develop dementia earlier in their later life when compared to the general population, (Department of Health, 2009). The management of behaviours related to Dementia has recently become a subject of much scrutiny (Anti-psychotic medications, mechanical devices, inappropriate use of physical intervention). The use of restrictive practices when supporting people with learning disabilities who do not have dementia is widely reported upon and researched, however in line with this research and guidance there is the acceptance that if these practices are used, then it follows a comprehensive assessment of the individual; and that the aim is to reduce the use of restrictive practices. The assessment and justification of restrictive practices within dementia services appears to be less co-ordinated.",
author = "James Ridley",
note = "Ballard, C, O’Brien, J, James, I, Swann, A, (2003), Dementia; Management of the behavioural and psychological symptoms, Oxford University Press, Oxford. Braun, J, Lipson, S, (1993), Toward a restraint free environment; reducing the use of physical and chemical restraints in long term and acute care settings, Health Profession Press, Sydney. British Psychological Society, Royal College of Psychiatrists, (2009), Dementia and people with learning disabilities, BPS/RCP, London Burnard, P, Chapman, C, (2005), Professional and ethical issues in nursing, Ballierre Tindall, Edinburgh. Bowles, L, (1996), How much should patients be told about their medication, British Journal of Nursing, 5, 3, 157 – 164, Cited by; Caress, A, L, (2003), Giving information to patients, Nursing Standard, 17, 43, 47 – 54. Care Quality Commission (nee Commission for Social Care Inspection), (2007), Rights, risks and restraints; An exploration into the use of restraint in the care of older people, CSCI, Newcastle Upon Tyne. Caress, A, L, (2003), Giving information to patients, Nursing Standard, 17, 43, 47 -54. Counsel and Care, (2002), Showing restraint; challenging the use of restraint in care homes, Counsel and Care UK, London. Department of Health, (2001), Valuing People, DoH, London. Department of Health, (2014), Positive and Proactive Care: reducing the need for restrictive interventions, HMSO, London Disability Rights Commission, (2006), Equal Treatment; Closing the Gap, Disability Rights Commission, London Home Office (2005), Mental Capacity Act (2005), HMSO, London. House of Lords, House of Commons, Joint Committee on Human Rights, (2008), A life like any other? Human rights of adults with learning disabilities, Seventh Report, HMSO, London. Gashmans, C, Milisen, K, (2006), Use of physical restraint in nursing homes; clinical ethical considerations, Journal of Medical Ethics, 32, 148 – 152 Great Britain. Human Rights Act 1998: Elizabeth ll. Chapter 42. (1998). London: The Stationery Office Janicki, M, Dalton, A, (1999), Dementia, Aging, and Intellectual Disabilities: A Handbook, Routledge, New York. Kerr, D, (2007), Understanding Learning Disability and Dementia, Jessica Kingsley, London. Leadbetter, D, (2002), Good practice in physical intervention, In Allen, D, (ed), Ethical approaches to physical interventions, BILD, p114-133. Osman, L, et al, (1994), Reducing hospital admission through computer supported education for asthma patients, British Medical Journal, 308, 6928, 568-571, Cited by; Caress, A, L, (2003), Giving information to patients, Nursing Standard, 17, 43, 47-54 Ridley, J, Jones, S, Clamping down on the se of restrictive practices, Learning Disability Practice, 15, 2, 33-36 Rollins, M, (2006), Safety issues surrounding the use of bedrails, Nursing Older People, 17, 10, 20 – 21. Royal College of Nursing, (2008), Lets talk about restraint: Rights, Risks, and Responsibilities, RCN, London Stokes, G, Gouldie, F, (1990), Working with dementia, Winslow Press, Bicester. Testad, I, Aasland, A, M, Aarsland, D, (2005), The effect of staff training on the use of restraint in dementia: a single-blind randomised controlled trial, International Journal of Geriatric Psychiatry, 20, 587-590. Tinetti, M, et al, (1994), A multi-factorial intervention to reduce the likelihood of falling among elderly people living in the community, New England Medical Journal, 331, 13, 821 – 827, Cited by; Kelly, A, Dowling, M, (2004), Reducing the likelihood of falls in older people, Nursing Standard, 18, 49, 33 – 40 Watson, R, (2001), Restraint; its use and misuse in the care of older people, Nursing Older People, 13, 3, 21-25. Whitehead, R, Carney, G, Greenhill, B, (2009), Encouraging positive risk management; Supporting “A life like any other” using a Human Rights Based Approach, In, Logan, C, Whittington, R (eds), Self-harm and Violence: Best Practice in Managing Risk,. World Health Organisation, (1986), Dementia in later life; research and action; report of the WHO scientific group on senile dementia, WHO, Geneva, Cited by; Ballard, C, O’Brien, J, James, I, Swann, A, (2003), Dementia; Management of the behavioural and psychological symptoms, Oxford University Press, Oxford.; CPI Conference 2015: Reducing restraint through policy and practice ; Conference date: 12-11-2015 Through 13-11-2015",
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Ridley, J 2015, 'Restrictive Practice in Older Adult Care' CPI Conference 2015: Reducing restraint through policy and practice, Birmingham, United Kingdom, 12/11/15 - 13/11/15, .

Restrictive Practice in Older Adult Care. / Ridley, James.

2015. CPI Conference 2015: Reducing restraint through policy and practice, Birmingham, United Kingdom.

Research output: Contribution to conferenceLecture

TY - CONF

T1 - Restrictive Practice in Older Adult Care

AU - Ridley, James

N1 - Ballard, C, O’Brien, J, James, I, Swann, A, (2003), Dementia; Management of the behavioural and psychological symptoms, Oxford University Press, Oxford. Braun, J, Lipson, S, (1993), Toward a restraint free environment; reducing the use of physical and chemical restraints in long term and acute care settings, Health Profession Press, Sydney. British Psychological Society, Royal College of Psychiatrists, (2009), Dementia and people with learning disabilities, BPS/RCP, London Burnard, P, Chapman, C, (2005), Professional and ethical issues in nursing, Ballierre Tindall, Edinburgh. Bowles, L, (1996), How much should patients be told about their medication, British Journal of Nursing, 5, 3, 157 – 164, Cited by; Caress, A, L, (2003), Giving information to patients, Nursing Standard, 17, 43, 47 – 54. Care Quality Commission (nee Commission for Social Care Inspection), (2007), Rights, risks and restraints; An exploration into the use of restraint in the care of older people, CSCI, Newcastle Upon Tyne. Caress, A, L, (2003), Giving information to patients, Nursing Standard, 17, 43, 47 -54. Counsel and Care, (2002), Showing restraint; challenging the use of restraint in care homes, Counsel and Care UK, London. Department of Health, (2001), Valuing People, DoH, London. Department of Health, (2014), Positive and Proactive Care: reducing the need for restrictive interventions, HMSO, London Disability Rights Commission, (2006), Equal Treatment; Closing the Gap, Disability Rights Commission, London Home Office (2005), Mental Capacity Act (2005), HMSO, London. House of Lords, House of Commons, Joint Committee on Human Rights, (2008), A life like any other? Human rights of adults with learning disabilities, Seventh Report, HMSO, London. Gashmans, C, Milisen, K, (2006), Use of physical restraint in nursing homes; clinical ethical considerations, Journal of Medical Ethics, 32, 148 – 152 Great Britain. Human Rights Act 1998: Elizabeth ll. Chapter 42. (1998). London: The Stationery Office Janicki, M, Dalton, A, (1999), Dementia, Aging, and Intellectual Disabilities: A Handbook, Routledge, New York. Kerr, D, (2007), Understanding Learning Disability and Dementia, Jessica Kingsley, London. Leadbetter, D, (2002), Good practice in physical intervention, In Allen, D, (ed), Ethical approaches to physical interventions, BILD, p114-133. Osman, L, et al, (1994), Reducing hospital admission through computer supported education for asthma patients, British Medical Journal, 308, 6928, 568-571, Cited by; Caress, A, L, (2003), Giving information to patients, Nursing Standard, 17, 43, 47-54 Ridley, J, Jones, S, Clamping down on the se of restrictive practices, Learning Disability Practice, 15, 2, 33-36 Rollins, M, (2006), Safety issues surrounding the use of bedrails, Nursing Older People, 17, 10, 20 – 21. Royal College of Nursing, (2008), Lets talk about restraint: Rights, Risks, and Responsibilities, RCN, London Stokes, G, Gouldie, F, (1990), Working with dementia, Winslow Press, Bicester. Testad, I, Aasland, A, M, Aarsland, D, (2005), The effect of staff training on the use of restraint in dementia: a single-blind randomised controlled trial, International Journal of Geriatric Psychiatry, 20, 587-590. Tinetti, M, et al, (1994), A multi-factorial intervention to reduce the likelihood of falling among elderly people living in the community, New England Medical Journal, 331, 13, 821 – 827, Cited by; Kelly, A, Dowling, M, (2004), Reducing the likelihood of falls in older people, Nursing Standard, 18, 49, 33 – 40 Watson, R, (2001), Restraint; its use and misuse in the care of older people, Nursing Older People, 13, 3, 21-25. Whitehead, R, Carney, G, Greenhill, B, (2009), Encouraging positive risk management; Supporting “A life like any other” using a Human Rights Based Approach, In, Logan, C, Whittington, R (eds), Self-harm and Violence: Best Practice in Managing Risk,. World Health Organisation, (1986), Dementia in later life; research and action; report of the WHO scientific group on senile dementia, WHO, Geneva, Cited by; Ballard, C, O’Brien, J, James, I, Swann, A, (2003), Dementia; Management of the behavioural and psychological symptoms, Oxford University Press, Oxford.

PY - 2015/11/12

Y1 - 2015/11/12

N2 - NICE (2007) stated that there are approximately 700,000 people in the UK with Dementia. Astonishingly the likelihood of people with Down syndrome developing dementia increases to 75% when they are over the age of 65, (Rasher, 2005). Older People with learning disabilities are also more likely to develop dementia earlier in their later life when compared to the general population, (Department of Health, 2009). The management of behaviours related to Dementia has recently become a subject of much scrutiny (Anti-psychotic medications, mechanical devices, inappropriate use of physical intervention). The use of restrictive practices when supporting people with learning disabilities who do not have dementia is widely reported upon and researched, however in line with this research and guidance there is the acceptance that if these practices are used, then it follows a comprehensive assessment of the individual; and that the aim is to reduce the use of restrictive practices. The assessment and justification of restrictive practices within dementia services appears to be less co-ordinated.

AB - NICE (2007) stated that there are approximately 700,000 people in the UK with Dementia. Astonishingly the likelihood of people with Down syndrome developing dementia increases to 75% when they are over the age of 65, (Rasher, 2005). Older People with learning disabilities are also more likely to develop dementia earlier in their later life when compared to the general population, (Department of Health, 2009). The management of behaviours related to Dementia has recently become a subject of much scrutiny (Anti-psychotic medications, mechanical devices, inappropriate use of physical intervention). The use of restrictive practices when supporting people with learning disabilities who do not have dementia is widely reported upon and researched, however in line with this research and guidance there is the acceptance that if these practices are used, then it follows a comprehensive assessment of the individual; and that the aim is to reduce the use of restrictive practices. The assessment and justification of restrictive practices within dementia services appears to be less co-ordinated.

M3 - Lecture

ER -

Ridley J. Restrictive Practice in Older Adult Care. 2015. CPI Conference 2015: Reducing restraint through policy and practice, Birmingham, United Kingdom.