What are the ethical approaches for restraint?
Given the ethical principles, measures should focus on the regularization of physical restraints instead of their elimination. Accordingly, the recommended ethical considerations are proposed in view of autonomy, justice, beneficence, and non-maleficence.
Which technique is an alternative to restraint use?
1) Least restrictive alternatives to restraint and seclusion include: verbal de-escalation techniques, low stimulation/decreased stimulation environments, sensory modulation interventions, use of a patient safety attendant (PSA), and implementation of a Health Care Agreement (HCA).
What are the legal and ethical considerations of physical restraints?
An attempt by an individual, or group of individuals, to restrain a person is legally justifiable in certain situations, for example to prevent someone committing a crime. The restraint of an individual outside such extenuating circumstances, or the use of excessive force, is unjustifiable.
What are some alternatives to using restraints for physical or behavioral reasons?
Alternatives to Restraint
- Beds that lower to the floor or a mattress in place next to the bed.
- Encourage family members or organise volunteers to visit at ‘high risk’ times.
- Consistency in staff and routines.
- Limit the number of staff attending to the person.
- Reduce noise levels.
Can you physically restrain a patient?
Physical restraint may involve: applying a wrist, ankle, or waist restraint. tucking in a sheet very tightly so the patient can’t move. keeping all side rails up to prevent the patient from getting out of bed.
Why are the use of restraints controversial?
In addition to beneficence, the side effects of physical restraints make them contentious. The principle of non-maleficence means no harm, which requires health-care providers to balance therapeutic goals and side effects [13]. However, bodily restraints will cause physical injury and psychological trauma to patients.
What are the ethical reasons why restraint must always be regarded as an action of last resort?
It should always be considered a last resort as it presents a significant threat to human rights, dignity, autonomy and wellbeing. Nurses must guard against choosing restraint, particularly when staff resources are limited.
When can you use physical restraints?
Physical restraints should only be used in an emergency situation when less restrictive interventions haven’t been effective and the patient is at risk for harming him- or herself or others. Using restraints as a means of coercion, discipline, or convenience is a violation of patient rights.
Why are physical restraints used?
Restraints may be used to keep a person in proper position and prevent movement or falling during surgery or while on a stretcher. Restraints can also be used to control or prevent harmful behavior. Sometimes hospital patients who are confused need restraints so that they do not: Scratch their skin.
Are restraints used to punish psychiatric patients?
The entire process of using psychiatric restraints is now highly regulated and carefully monitored, with multiple safeguards in place to ensure the physical health and safety of both patients and staff. Myth #3: Physical restraints are routinely used to control and to punish psychiatric patients.
What are some myths about the use of restraints?
Myth #3: Physical restraints are routinely used to control and to punish psychiatric patients. The Facts: The use of psychiatric restraints is considered a “last resort” approach after all other measures to calm and support the person (verbal encouragement, medications, therapeutic activities, etc.) have failed.
How were physical restraints used to treat patients in asylums?
Physical restraints could be used to modify behaviour if used sparingly as punishments or deterrents. In traditional asylums, patients were mixed together in the same ward, but the Tukes tried to tailor treatment to each patient and housed patients with similar conditions together. A bird cage from Sussex Lunatic Asylum, 1859-1939.
Is a chair-based restraint system right for your patient?
Visaggio added that research has shown using a chair-based restraint system — as opposed to cuffing a patient to a bed by their arms or legs — can reduce the risk of a negative experience. “It’s much more humane to be in a seated position.
https://www.youtube.com/watch?v=8ITB9soWjBU