Wednesday, 9 November 2016

Dementia care staff call in police four times a day: Sharp rise in number of patients restrained as homes fail to cope

Police and security guards are called out to deal with vulnerable dementia patients four times a day, figures reveal.

They are increasingly summoned by hospital and care homes staff struggling to cope.
One frightened patient was handcuffed to his hospital bed and told he had caused ‘criminal damage’ for accidentally knocking over an oxygen cylinder.
Several hospital trusts say they routinely summon security guards when patients wander off down the corridor, say they want to go home or are unwilling to go to bed. 

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Experts say such forceful measures should be used only as a ‘last resort’ and that it is far better to sit patients down and talk to them reassuringly over a cup of tea.
Figures obtained by the Mail under the Freedom of Information Act show police and security guards were summoned by hospitals and care homes to deal with dementia sufferers on 1,378 occasions in 2015.
But these are almost certainly just the tip of the iceberg as three quarters of forces and hospitals did not record data, or failed to supply it.

The investigation coincides with a report by the Alzheimer’s Society revealing how thousands of sufferers are putting off diagnosis by up to a year. It says dementia is the most feared illness in the UK with two thirds believing their life would be over if they were diagnosed.
The charity’s George McNamara said: ‘It is deeply worrying that police and security guards are being called in to restrain people with dementia so frequently. This would be distressing for anybody, let alone a person with dementia who may be confused and frightened.
‘Use of force should only ever be a last resort … Aggressive behaviour might be a sign of a person with dementia’s discomfort, pain, or lack of stimulation when they aren’t able to communicate.’
A dementia sufferer’s daughter has told how he was restrained by police three times, when all he needed was to be calmed down with a cup of tea.

On one occasion David Steele, 64, was handcuffed to his bed at Tameside Hospital, Greater Manchester, and was told he had caused ‘criminal damage’ for accidentally knocking over an oxygen cylinder.
Daughter Jill Parr, 50, said he was in agony as a result of an abscess but was unable to tell staff because of his condition.
She added: ‘The staff there had no idea how to treat someone with dementia. The ward weren’t giving him his medication, they weren’t giving him his food … just leaving it next to his bed … They treated him like a criminal.’
Caroline Abrahams of Age UK said: ‘It’s hard to imagine just how frightening and upsetting it must be for an older person with dementia to be forcibly restrained.
‘Our common humanity as well as good professional practice demands that older people with dementia are only restrained when absolutely unavoidable … these rising figures surely call this seriously into question.’
The frequency of call-outs exposes a lack of training among doctors, nurses and care home staff on how to cope with dementia symptoms.
About 850,000 adults in Britain have the illness and the figure is expected to double in 40 years as the population ages.
Last year the Government announced mandatory dementia training for all NHS staff, including porters and cleaners, to enable Britain to become a world leader in tacking the condition. But relatives say many nurses still regard sufferers as troublemakers.
One hospital trust, Luton and Dunstable in Bedfordshire, said security guards were summoned if patients said they wanted to leave, were confused or refused to go to bed.
Others including North Cumbria and Rotherham call security if patients wander off down wards.
Figures from 153 hospital trusts in England show security guards were summoned on 790 occasions last year. But fewer than a quarter were able to supply data suggesting the true numbers may be four times higher.
A similar investigation for 2014 showed they had been summoned only 320 times over a two-year period. The huge rise may be due partly to better recording of the call-outs. Figures from police show they attended hospitals to deal with dementia patients 144 times in 2015 and to care homes on 444 occasions. But only 8 of the 39 forces supplied data as most do not record specific incidents.
Katherine Murphy of the Patients Association said: ‘This is hugely distressing for dementia patients … We don’t have enough staff with the compassion and special skills that these patients need.’
A Department of Health spokesman said: ‘The safety and dignity of patients is vital and we have issued guidance to help staff understand challenging behaviour and create compassionate caring environments.


‘It is sometimes necessary to use restraint to stop someone hurting themselves or others, but we agree this should only ever be a last resort.’
SOURCE: Daily Mail Online

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