This programme outlines the requirements of the national policy, national standards and professional requirements for the use of restraint in residential care settings for older people. Against this backdrop, the workshop outlines the decision-making process for consideration of the use of restraint as a therapeutic intervention for individual residents.
Older people have the right to live as independently as possible without unnecessary restriction. Nurses often struggle to balance residents’ rights to autonomy and liberty with the need to ensure the health and safety of their residents. While there are circumstances where the use of restrictive practices may be unavoidable and necessary to ensure a resident’s safety or the safety of others, restrictive practices are an infringement of a person’s fundamental rights to personal liberty and bodily integrity. This is echoed in The Department of Health (2011) document on restraint in nursing homes as well as national standards, regulations and policies governing residential care settings for older people. In recognising this, the study day encourages participants to take a positive and proactive approach in reducing and eliminating the use of restrictive practices in their residential care facility. It also explores the use of alternatives and encourages participants to take a person centred rather than blanket approach to the use of appropriate alternatives.
- Legislative and policy background
- Definitions of restraint
- Types of restrictive practices
- Care planning where the use of a restrictive practice is being considered
- Consent issues in relation to restraint / restrictive practices
- Use of alternatives and assessment and care planning for same.
- Decision making – scenarios from participants