Restraints and the elderly with mental illness : Ethical issues and moral reasoning.
1 Although nurses agree strongly in the principle of beneficence, or protection from harm, it is sometimes outweighed by the principle of autonomy of their patients.
Making the decision not to use restraints involves risk taking on the part of the caregivers and their facilities. 2 The risks of restraint use in the elderly are multiple and include :
occurrence and worsening of pressure sores ;
functional impairment ;
cardiac stress ;
nutritional impairment ;
agitated behaviors ;
emotional desolation ;
feelings of anger, discomfort, resistance, and fear ;
and injuries that may result in death. 3 People have unconditional worth and dignity that supports a strong argument for the maintenance of autonomy, even in the event of possible harm from an injury.
Mots-clés Pascal : Service santé, Etablissement troisième âge, Utilisation, Contention, Ethique, Qualité vie, Santé mentale, Vieillard, Homme
Mots-clés Pascal anglais : Health service, Homes for the aged, Use, Restraint, Ethics, Quality of life, Mental health, Elderly, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0501675
Code Inist : 002B18H05B. Création : 19/02/1999.