Restrictive practices on acute NHS wards for people with dementia
- 9 hours ago
- 1 min read
Recent research by the University of West London has found: ‘People living with dementia are at significant risk of experiencing restrictive practice or restraint during an unscheduled acute hospital admission..’
‘This study identified restrictive practice as an invisible but everyday feature of care experienced by all people living with dementia within hospital wards. While quantifiable and visible restraint (physical restraint, pharmaceutical sedation, legal frameworks) was observed, our findings highlight that hidden, unrecognised, and unrecorded, restraint was experienced by all people living with dementia admitted to hospital. This encompassed a wider range of routine practices, staff attitudes, and ward cultures of control and containment, during care.’
‘People living with dementia are expected to remain in bed or at the bedside across an acute hospital admission, with opportunities to leave the bedside further reduced when restrictive practices were applied, with significant impact on the person, causing high levels of distress, and poor outcomes.’
The research findings have implications for BIA’s carrying out DoLS assessments as many of the restrictions were ‘hidden’ and not recorded by staff.
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