Striving to Provide Safety Assistance for Families of Elders

Hutchings²,

Corner³

et al. 2006

Health Technol Assess

104

106

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Section: Results Of the Systematic Review Characteristics Of Includedmentioning

confidence: 99%

Section: Tagging/tracking Devicesmentioning

confidence: 99%

A systematic literature review of the effectiveness of non-pharmacological interventions to prevent wandering in dementia and evaluation of the ethical implications and acceptability of their use

Hutchings²,

Corner³

et al. 2006

Health Technol Assess

104

106

“…Twenty-seven papers were included (Rosswurm et al, 1986;Blackburn, 1988;Gaze, 1989;Marr, 1989;Moss and La Puma, 1991;Smith-Jones and Francis, 1992;Coleman, 1993;Dodds, 1994;Mapp, 1994;McShane et al, 1994; The Lancet (Anon. ), 1994; Richter et al, 1995;Cantes and Rigby, 1997;Holmberg, 1997;Dawkins, 1998;Kilstoff and Chenoweth, 1998;McShane et al, 1998;Melillo and Futrell, 1998;Nicolle, 1998;Thompson, 1998;Morgan and Stewart, 1999;Wilber and Machemer, 1999;Altus et al, 2000;Hughes and Louw, 2002;Welsh et al, 2003;Kinney et al, 2004;Miskelly, 2004). Electronic tagging and tracking devices were most commonly discussed (Gaze, 1989;Marr, 1989;Moss and La Puma, 1991;Smith-Jones and Francis, 1992;Mapp, 1994;The Lancet, 1994;Cantes and Rigby, 1997;Dawkins, 1998;McShane et al, 1998;Altus et al, 2000;Hughes and Louw, 2002;Welsh et al, 2003;Kinney et al, 2004;Miskelly, 2004) Non...…”

Section: Acceptability Of Non-pharmacological Interventions To Prevenmentioning

confidence: 98%

“…For electronic devices, reservations included technical (Altus et al, 2000;Kinney et al, 2004) and practical difficulties (McShane et al, 1998), including patients removing the device (Blackburn, 1988;Altus et al, 2000) increased demand on carers' time (Cantes and Rigby, 1997) and cost (Welsh et al, 2003). Such devices did not abolish risk (Mapp, 1994;McShane et al, 1998;Nicolle, 1998) but often gave peace of mind to informal carers (McShane et al, 1998;Welsh et al, 2003;Kinney et al, 2004). Some environmental designs such as low density units, 'defined as fewer residents per area per person' (Morgan and Stewart, 1999), and the position of doors within a building, were found to encourage exitseeking and increase restlessness.…”

Section: Acceptable Interventions With Some Limitationsmentioning

confidence: 99%

Effectiveness and acceptability of non‐pharmacological interventions to reduce wandering in dementia: a systematic review

Int J Geriat Psychiatry

Hutchings

Dickinson

et al. 2006

113

“…cost (Altus et al 2000) (although some carers would be willing to pay for such a device (Melillo and Futrell 1998)), . the extensive training and technical support required (Kinney et al 2004), . technical problems (Kinney et al 2004), .…”

Section: Conflicting Perspectives On the Process Of Risk Assessment Amentioning

confidence: 99%

Balancing rights and risks: Conflicting perspectives in the management of wandering in dementia

Hutchings

Corner

et al. 2007

Health, Risk & Society

192

239

Current Government recommendations in England suggest a national approach to risk management but, in an increasingly litigious society, how do professional carers balance risk management with the promotion of a person-centred approach in dementia care? Wandering behaviour can be both beneficial and harmful to a person with dementia and generate considerable emotional distress in their carers. This study combined a systematic review and qualitative research methods to explore the perspectives of different stakeholders in the management of wandering in dementia. A major theme for carers was the conflict between the prevention of harm and the facilitation of a person's right to autonomy. Such tensions also impacted on carers' abilities to provide person-centred care. This dilemma was highlighted through the use of assistive technologies such as electronic tracking devices. Interestingly, people with dementia felt that the use of such technology placed them at greater risk, i.e. as a target to theft, than the process of wandering itself. They spoke of their need for independence and their concern over carer surveillance and the identity of 'big brother.' There is a need to develop practical tools for managing risk within dementia care which allow all perspectives to be captured and risk management to be negotiated.