Wednesday, November 19, 2008

Inspection for Health advocates ban on Swedish band

Restrictive Freedom funds are in nursing homes and institutions for mentally disabled people too often used, says the Inspectorate for Health Care.

In the psycho-geriatrics and the mentally disabled are restrictive means freedom for many, it is clear from the report "Care for Freedom" that the Inspectorate for Health Care (IGZ) today presents. These are different measures such as the use of a Swedish band - a kind of hip belt enabling people to bed or (role) chair are tied - the administration of depressants, the use of motion sensors that register or get someone out of bed, or locked do for the outer road so no one can.

Although often deployed to ensure security of people (to avoid that they fall, for example), such measures may be counterproductive and lead to correct physical and psychological damage, according to the IGZ.

The most extreme shows that the use of unrest tires. Between June 2007 and May 2008 deceased seven people because they adhere to these belts were trying to emerge. For the Inspectorate was partly prompted a large study, involving 55 sites for psycho-geriatrics and 31 for the mentally disabled were visited.

Remarkably, the report says, is that many aid workers are just realizing that many measures restricting freedom of their patients. They are so routine that almost no one had more at a standstill. That is especially true for rules that an entire department, such as closing doors. But the administration of psychotropic drugs to be done routinely, believes the IGZ: of every 100 customers get 30 medications. Many employees are insufficiently aware of the side effects and risks of such medicines.

IGZ want the freedom that the number of restrictive measures is substantially reduced. Experiences in locations where this has already happened, also found that it can, says the report. There are a few conditions: a spacious and modern accommodation, expert staff and a well thought-out prevention, which begins with awareness by aid workers. There is much attention needed for the individual patient, in which area he feels comfortable, how can he prevent unrest is?

With one of the most extensive resources, the fast IGZ final deal: the unrest tires. Netherlands runs in that area behind other western countries. In countries such as Denmark, Switzerland and the U.S. is the use of these belts already banned. If it is the Inspectorate, they are also in the Netherlands from 2011 no longer used.

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