Mwale, Shadreck ORCID: https://orcid.org/0000-0002-5773-8458, Northcott, Andy ORCID: https://orcid.org/0000-0003-3030-9861, Lambert, Imogen and Featherstone, Katie (2024) “Becoming restrained”: Conceptualising restrictive practices in the care of people living with dementia in acute hospital settings. Journal of Sociology of Health and Illness.

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Abstract

The use of restrictive practices within health and social care has attracted policy and practice attention, predominantly focussing on children and young people with mental health conditions, learning disabilities, and autism. However, despite growing appreciation of the need to improve care quality for people living with dementia (PLWD), the potentially routine use of restrictive practices in their care has received little attention. PLWD are at significant risk of experiencing restrictive practices during unscheduled acute hospital admissions. In everyday routine hospital care of PLWD, concerns about subtle and less visible forms of restrictive practices and their impacts remain. This paper draws on Deleuze's concepts of ‘assemblage’ and ‘event’ to conceptualise restrictive practices as institutional, interconnection social and political attitudes, and organisational cultural practices. We argue that this approach illuminates the diverse ways restrictive practices are used, legitimatised, and perpetuated in the care of PLWD. We examine restrictive practices in acute care contexts, understanding their use requires examining the wider socio-political, organisational cultures and professional practice contexts in which clinical practices occurs. Whereas ‘events’ and ‘assemblages’ have predominately been used to examine embodied entanglements in diverse health contexts, examining restrictive practices as a structural assemblage extends the application of this theoretical framework.

Item Type:	Article
Identifier:	10.1111/1467-9566.13812
Subjects:	Medicine and health
Depositing User:	Shadreck Mwale
Date Deposited:	17 Jun 2024 09:56
Last Modified:	04 Nov 2024 11:17
URI:	https://repository.uwl.ac.uk/id/eprint/12062

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