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Exercising restraint: autonomy, welfare and elderly patients

S Dodds1

  • 1Department of Philosophy, University of Wollongong, NSW, Australia.

Journal of Medical Ethics
|June 1, 1996
PubMed
Summary

Physical restraints are still used on elderly nursing home patients, despite autonomy efforts. This paper questions their necessity and efficacy, advocating for elderly patient autonomy.

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Area of Science:

  • Gerontology
  • Bioethics
  • Healthcare Policy

Background:

  • Despite advancements in patient rights, physical restraints are prevalent in nursing homes for frail elderly individuals.
  • This practice raises ethical concerns regarding patient autonomy and welfare.

Purpose of the Study:

  • To critically evaluate the necessity and efficacy of physical restraints on elderly patients in nursing homes.
  • To assert that respecting patient autonomy is a fundamental duty, even for vulnerable elderly populations.

Main Methods:

  • Literature review and data analysis on the efficacy of physical restraints.
  • Ethical analysis of autonomy in healthcare for the elderly.

Main Results:

  • Evidence suggests limited efficacy of physical restraints in protecting the welfare of frail elderly patients.
  • The assumption of necessity for restraint use is challenged by available data.

Conclusions:

  • The use of physical restraints on elderly nursing home residents is questionable due to limited efficacy.
  • Healthcare providers have a duty to uphold the autonomy of elderly patients, irrespective of their frailty or living situation.
Keywords:
Professional Patient Relationship

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