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Do Physical Restraining Patients with Dementia Make Them More Agitated/Aggressive - Research Paper Example

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Do physical restraining patients with dementia make them more agitated/aggressive? Customer Inserts Grade Course Customer Inserts 24th August 2012 Research Proposal The current research study will focus on one of the basic issues in the field of nursing…
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Do Physical Restraining Patients with Dementia Make Them More Agitated/Aggressive
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Download file to see previous pages Background of the Study There is a vast amount of population, which is suffering from the cognitive impairment, ultimately having the dementias or the Alzheimer’s disease. This population comprises of a minimum of half of all residents in nursing homes and in assisted living. These people diagnosed with dementia undergo a distinctive constellation of symptoms that results from a drastic decline in the functioning of their brains, making the individual a victim to disorientation, loss of memory, and having diminished capability to perform everyday activities and communicate. These patients also depict behavioral and psychiatric symptoms (Qizilbash et al., 2002). One of the major issues of concern for the dementia patients is the quality of care for the reason that they have constant, documented concerns with care in residential settings. The treatment of various psychological problems and dementia has been historically overshadowed with techniques and devices that restrain and restrict the patients’ movements. Many different forms of restraint have been utilized which may include wrist restraint, chairs with lap barriers, being tied up to padded cells and others. The concept of physical restraint pertains to attaching or keeping any device with the body of patient, which cannot be removed easily by the patient and which is likely to limit the patient’s freedom of movement and access to body (Miles and Meyers 1994). The use of the physical restraint has long been made to manage the agitations and aggressiveness of patients, particularly those who are mentally ill. The utilization of physically restraining measures have remained popular and applicable for old age people and is justified as guaranteeing ‘prevention’ to them (Castle and Mor 1998). The patients with dementia are normally treated with in various ways including medication, consultancy, coaching, etc. Dementia is not a diseases; it is rather a severe lack of cognitive ability in a person who is mostly likely to be previously unimpaired. This non-specific illness syndrome affects certain cognitive areas such as attention, memory, problem solving, and language. People with dementia depict a threateningly aggressive behavior; they verbally abuse, overreact to situations, show unnecessary agitation or aggression, feel frustrated most of the times, and subject themselves to physical hurting (Alzheimer's Society, 2010). During the early1960s, the medical practitioners challenged the use of physical restraint towards the patients suffering from dementia. According to them, it tended to intensify the patients’ disorganized behavior (Castle and Mor 1998). Later, in 1979, they did not recommend the application of physical constraints on the patients who were diagnosed dementia (Evans and Strumpf 1989). All this time, the use of restraint was considered to be affected by numerous external elements, which were centered on the unethical nature of the practice and its potential negative consequences. Moreover, this method has been thought to be creating more aggression and agitation in the patients already suffering from dementia. Problem Statement With the passage of time, the utilization of physical restraints has widely been seen and experienced as both abusive and undesirable. The application of physical restraints has been viewed in connection with the frustrated, agitated, violent and aggressive patients diagnosed with dementia. This study undertakes to examine the uses of ...Download file to see next pagesRead More
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