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[The occurrence of coercive measures towards non-hospitalized elderly]
Carsten Emil Olsen1, Lis Zabinski, Henrik Day Poulsen
1H:S Hvidovre Hospital, Psykiatrisk Afdeling, København K. olsen_carsten@hotmail.com
Introduction:
The study is a nation-wide investigation of the occurrence of coercive measures towards non-hospitalised elderly (+65 years) with dementia in Denmark. These measures include the use of alarm and tracking systems, use of physical force and protective devices, detention of the elderly in their own homes, and forced movement to another domicile e.g. nursing home. These types of coercive measures are regulated in the Danish jurisdiction, but not systematically recorded.
Material And Methods:
A questionnaire was sent to all counties in Denmark concerning occurrence of the coercive measurements mentioned above.
Results:
All 14 counties reported a very low use of all types of coercion with only a total of 123 incidents reported in all in 2001.
Discussion:
This modest number gives rise to concern about lack of sufficient care towards elderly with dementia. The autonomy of the demented is important, but must not overrule basic care with the aim of ensuring dignified living conditions and safety from harm. The jurisdiction in this area is complicated and sometimes unclear.