Rights, Risks and Restraintfree Care of Older People: Person‐centred approaches in health and social care

Date12 November 2010
Published date12 November 2010
Pages46-47
DOIhttps://doi.org/10.5042/jap.2010.0644
AuthorBridget Penhale
Subject MatterHealth & social care,Sociology
46 © Pier Professional Ltd The Journal of Adult Protection Volume 12 Issue 4 • November 2010
This book concerns a comparatively neglected area in the field
of caring for older adults: the use of restraint. The issue is one
that has received relatively recent recognition; it is really only
since the 1980s that people have begun to acknowledge this
topic. However, in relation to elder care practice, use of restraint
remains a real challenge. Moreover, given the population profile
and demographic trends, it is clearly an area that should not be
neglected any longer. The book aims to raise the profile of the
issue and make recommendations about how it can be dealt
with effectively and largely succeeds in these aims.
It has contributions from a range of professions and covers
the essential key areas of research, policy and practice. The
book consists of three main parts with a series of sub-topics.
The first section concentrates on the types, patterns and
trends regarding the use of restraint. It particularly focuses on
physical restraint, medical interventions and, importantly, the
key ethical challenges of use of chemical restraint and covert
medication, which are well covered. The second section
explores in more detail a range of perspectives across health
and social care including human rights and health and safety.
There is a helpful section on the ethical issues that particularly
arise in relation to the use of medication and also in the
maintenance of enteral feeding.
The final section, which in some ways is the most important,
explores recent and developing issues and innovations in this
field. Essential key areas of how practice can be developed
to reduce and minimise the use of restraint are covered.
Fundamental challenges including dealing with difficult practice
issues such as de-escalation of challenging behaviour, wandering
10.5042/jap.2010.0644
Book review
Rights, Risks and Restraint-
free Care of Older People:
Person-centred approaches in
health and social care
Bridget Penhale
Reader, University of East Anglia, UK
Reviewed by
Editor: Rhidian Hughes
Foreword by Baroness
Greengross
Jessica Kingsley Publishers, 2010
ISBN: 978 1 84310 958 7

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