Peisah, C and Jessop, T and Breen, J, A missed opportunity to improve practice around the use of restraints and consent in residential aged care: limitations of the Quality of Care Amendment (Minimising the Use of Restraints) Principles 2019, Australasian Journal on Ageing, 39, (3) pp. 292-296. ISSN 1440-6381 (2019) [Refereed Article]
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Methods: We examined both Principles and accompanying Explanatory Statement in light of best practices around consent and use of chemical and physical restraint.
Results: The chemical restraint definition is problematic by exclusion of medications for treating mental disorders, physical illness or physical conditions, which is not considered restraint. Inexplicably, physical restraint requirements are more rigorous than chemical restraint requirements, where assessment is optional, and consent sometimes obtained, after use, and from the person's "representative," rather than the person first, followed by their proxy decision-maker.
Conclusion: Although a start in promoting best practice around physical restraint, the Principles do not address the status quo of poor practice around chemical restraint and may instead codify it.
|Item Type:||Refereed Article|
|Keywords:||chemical restraint, policy, amendment, dementia, law, residential care, restraints|
|Research Division:||Health Sciences|
|Research Group:||Health services and systems|
|Research Field:||Aged health care|
|Objective Group:||Clinical health|
|Objective Field:||Clinical health not elsewhere classified|
|UTAS Author:||Breen, J (Associate Professor Juanita Breen)|
|Funding Support:||National Health and Medical Research Council (1072809)|
|Web of Science® Times Cited:||1|
|Deposited By:||Wicking Dementia Research and Education Centre|
|Downloads:||4 View Download Statistics|
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