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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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
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Brandon Lee, Hollywood actor and son of Bruce Lee died because of malfunctioned prop gun during their shooting. In 1865, President Abraham Lincoln was assassinated. Recent events of gun shooting included a massacre at Columbine High school, Omaha’s Westwood’s Mall, and Virginia Tech University.
The author states that dementia does not only affect the economic condition for the family, but it also affects the social and health of all individuals involved. This is a worldwide problem for which there is no cure. In addition to health issues, dementia causes world-wide economic challenges.
The author states that there are basically six types of stressors which have detrimental effects on patients with dementia and contribute to development of aggressive behaviours. These factors are environmental factors, excessive fatigue, caregiver factors, demands above and beyond functional capacity, physical stressors and perception of losses.
Hulko noted that dementia is not a single- disease but rather it is a non-specified syndrome that affects cognitive functions that include problem-solving, attention, memory, and language. In the later stages of dementia, patients normally, exhibit signs of time disorientation in the sense that they can say the exact time.
Problems associated with dementia are lost in independence, initiative and participation in social activities (Medical News Today, 2006). A person stricken with AD developed problems with memory and cannot carry out his day-to-day functions without assistance.
Physical restraints are applied to the dementia patients at the time of their aggression that leads to insecurity for them and the attending nurses. In view of nursing staff the physical restraints are applied on patients of dementia only as an intervention.
As the symptoms of Dementia further develop, the patient will begin to lose his mentalfunctions. Legal issues then arise concerning his capacity to make a decision. First, there may be doubts about whether a patient is legally capable to decide about a particular medical procedure, especially if the patient refuses to go-ahead with a procedure that the doctor recommends.
ial of challenging the ability of the family members to care for the loved ones within the illness age. In addition, working with families to bring change in dementia management strategies may lead to delayed institutionalization (Bob & Gia, 2002). As a result, in this
Dementia also leads to the change in the general behavior of the patient and the patient tends to become extremely moody, he loses control over his emotions, feeling, and other conditions. The worst part of this disease is that the patient starts forgetting and even stops recognizing people closest to him.
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