The Ethics of Mechanical Restraints

Moss, Robert J.; Puma, John La

doi:10.2307/3563342

Cited by 68 publications

(37 citation statements)

References 16 publications

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“…89,99 Papers relating to physical restraints did not provide any definition of wandering. 79,80,85 The majority of the papers on ethical issues were discussion papers, mostly opinion based, and with little empirical evidence cited to support the arguments presented. The papers discussing acceptability issues were based on findings from non-controlled research or pilot studies (e.g.…”

Section: Results Of the Systematic Review Characteristics Of Includedmentioning

confidence: 99%

“…26,65,[81][82][83][84][86][87][88]93,98,[100][101][102] Other papers discussed physical barriers, 103 physical restraints, 79,80,85 planned walking, 90 hand massage 91 and environmental design. 94 A further five papers did not focus on any one intervention but discussed a mixture of interventions/strategies used by formal and informal carers.…”

Section: Results Of the Systematic Review Characteristics Of Includedmentioning

confidence: 99%

“…Some argued that the person's right to autonomy should be balanced against the risk of harm both to themselves and to others. 79,80,84,85,103 For example, although the use of physical restraints reduces the person's autonomy, it was argued that other residents also have the right to freedom from interference and/or harm. 79 Nursing philosophy incorporates the promotion of safety and protection from harm; 80 however, responsibility for the person's safety in situations when movement cannot legally be restricted (i.e.…”

Section: Theme 2: Conflicting Principles and Valuesmentioning

confidence: 99%

“…Papers cited the many negative psychological and physical effects of restraints, including injury and mortality, and it was generally felt that their use was not acceptable in the majority of cases. 79,80,85,99 …”

Section: Physical Barriers/physical Restraintsmentioning

confidence: 99%

“…89,95,99 A number of conflicting ethical principles were discussed in relation to tagging and/or tracking devices, 26,65,[81][82][83][84][86][87][88]93,98,[100][101][102] physical barriers, 103 restraints, 79,80,85 environmental design 94 and carer strategies. 89,[95][96][97]99 These included tensions between the principles of beneficence ('doing good') and non-maleficence ('avoiding harm'), and between safety and rights to autonomy, liberty, dignity and privacy, that is, the balance between societal/legal values versus person-centred/individual values.…”

Section: Theme 2: Conflicting Principles and Valuesmentioning

confidence: 99%

See 4 more Smart Citations

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

Robinson

Hutchings²,

Corner³

et al. 2006

Health Technol Assess

104

105

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Section: Results Of the Systematic Review Characteristics Of Includedmentioning

confidence: 99%

Section: Results Of the Systematic Review Characteristics Of Includedmentioning

confidence: 99%

Section: Theme 2: Conflicting Principles and Valuesmentioning

confidence: 99%

Section: Physical Barriers/physical Restraintsmentioning

confidence: 99%

Section: Theme 2: Conflicting Principles and Valuesmentioning

confidence: 99%

See 3 more Smart Citations

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

Robinson

Hutchings²,

Corner³

et al. 2006

Health Technol Assess

104

105

View full text Add to dashboard Cite

show abstract

Ethical and Legal Issues in Nursing Home Care

Hayley

Cassel²,

Snyder³

et al. 1996

Arch Intern Med

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Physicians who provide care for nursing home residents are regularly challenged by ethical and legal issues. Because nursing home care is complicated by numerous regulations and because nursing home residents have complex medical and social problems, some issues are unique to the long-term care setting and others present in unfamiliar ways. Some issues frequently encountered in this context are discussed: advance directives, competence and decision-making capacity, decisions about life-sustaining treatment, resident abuse, restraints, psychotropic medications, risk management, participation in research, and ethics committees. With knowledge of the legal and ethical framework and understanding of some of the common, complicated issues that arise, physicians should be better equipped to provide optimal care for nursing home residents.

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Liberating the Wanderers: Using Technology to Unlock Doors for those Living with Dementia

Wigg¹

2010

Technogenarians

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The Ethics of Mechanical Restraints

Abstract: As mechanical restraints have never been proven effective in clinical practice, they should not be used routinely. They should be considered a non‐validated therapy requiring consent

Cited by 68 publications

References 16 publications

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

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

Ethical and Legal Issues in Nursing Home Care

Liberating the Wanderers: Using Technology to Unlock Doors for those Living with Dementia

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