The use of restrictions in hospitals is a worldwide practice. There are different types but mostly they use seclusion and restrains. Using restrains means the intentional restriction or the limitation of patient movement. More often, it used to manage the aggressive behavior which attended mostly by psychiatric and mental illness patients. The type of restrains will be chosen according to the degree of patient behaviors or the condition. Physical restraints, is to hold the patient by two or more stuff members to prevent him from leaving. The other type is mechanical restraint, which involve the use of some equipment such as, mittens, heavy belt which will restrict the movement from chairs, and raising the side rails of the bed for geriatric patient. Moreover, the chemical restrain is the easiest way which involves the use of medications. Making a decision to use the restrains is not straightforward or easy for nurses. It is need daily legal and ethical decision making. Sometimes, using restrains has so many advantages and disadvantages that put the health care providers to decide what is right and what is wrong.
In respect to the restrains dilemma, using restrains can be effective in controlling the patient’s behavior and violent. According to the ethical theories, using restrains is acceptable …show more content…
It has many types which will use based on the patient condition or behavior. The decision regarding the use of restrains is not an easy; it’s really a legal and ethical dilemma especially for nurses. Some theories was supported the use of restrains and some are not, but the important things here that the nurses must have updated knowledge of excellent ethical decision making. Also, to focus on two main ethical principles which are beneficence and nonmaleficence. In mu opinion, the use of restrains must be prevented due to the present of too many alternatives which can make the patient
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This act created a major revision of standards of care for nursing homes. This legislation also changed the expectations and the quality of care that patients should receive in long term care facilities. This Nursing Home Reform Act passed by congress specifically stated “that each residents have the right to be free from any physical or chemical restraints imposed for purposes of discipline or convenience and not required to treat the resident’s medical symptoms”. While there may be some benefits to using restraints in nursing homes, however, studies have shown that using restraints in nursing homes negatively impacts patients and for the most part does not prevent them from falling or from other incidents that may occur. There are very high levels of risks associated with the use of restraints (Lapane,150).
Ms. Augustin Doreus has also been very active in the following hospital committees such as: Restraint, Safety, Fall, ConED, and Performance Improvement. Furthermore, she has been a voice for the veterans focusing on changing the culture of how restraints are being used in the organization. She advocates on focusing more on alternative measures such as, de-escalation techniques, therapeutic communication, recognized early sing of agitation, and intervene on a timely manner, and so on. Outcome: As a member of the Hospital Restraint Committee and the leader of the Sub-restraint committee, Mrs. Augustin Doreus proposition to the Restraint Committee was to change the philosophy of our current restraint practice to focus more on finding alternative ways to keep our veterans safe during behavioral outburst.
Annotated Bibliography on Solitary Confinement Cheril L. Hall American InterContinental University CRJS405 Research Methods for Criminal Justice Solitary Confinement and Mental Health An issue we have in the correctional system is solitary confinement & mental health. Solitary confinement is the practice of confining a person that is incarcerated to a small cell for around twenty-two to twenty-three hours of the day without any social contact. The problem with solitary confinement is that it is either being done to someone that is weak minded or to someone for an extended period of time.
7 / D.P7: Explain how different procedures maintain health and safety in a selected health or social care setting Maintaining health and safety in health and social care is extremely important to ensure the health, safety and wellbeing of all their service users as well as other individuals service providers may come in contact with in the setting. There are several procedures that help to maintain this health and safety however they can all vary between settings for example, health and safety procedures will be slightly different and more focused on certain areas in hospitals and especially in paediatric ward compared to in drop-in centres where the needs and risk to service users are slightly different. Some of the procedures used in health and social care to maintain health and safety include; infection control and prevention, safe moving and handling of equipment and individuals, food preparation and storage, storage and administration of medication and storage and disposal of hazardous substances.
Inmates in confinement have no contact with any human beings other than the guards, and this often leads to extreme mental health problems. Additionally, many inmates do not receive proper medical treatment and are left with severe physical health complications. One example of these health problems is presented in an excerpt from the American Law Yearbook from 2017. In this excerpt, the authors say, “Those held in solitary confinement are often subject to physical torture, including different types of restraints. Prisoners report that they also endure nonphysical torture, such as sensory deprivation, forced insomnia, permanent bright lighting, and extreme temperature.”
The facilities enforcing protocols and policies to secure that employees are meeting government regulations. Doctors, nursing staff and support staff I must use their best ethical and moral judge in most case to ensure patients are being retreated. Thus, sometimes causing conflict with health care administration because health care workers sometimes unknowingly break policies or protocol by putting patients first. As well as hospitals and clinics have so many departments that there can be conflict of interest with patient care that can cause inconsistency with patient care (Santilli, J. el al., 2015, Para
According to the case scenario, this is an ethical dilemmas because there is a choice between two equally appealing mutually exclusive choices that is shown as the nurse’s awe while against the prisoner’s wish among of the fear of reprisal if disobeying orders. The RN is working in military, so obeying orders is the most important rules in where the nurse practices. Therefore, the nurse notes that a moral distress arise while following the healthcare members’s decisions which are considered as
Physical and mechanical restraint can be similarly defined to be “Any device or individual that confines or restricts movement,” whereas chemical restraint is defined to be “Any drug that is used… to either control behavior or to restrict the patient’s freedom of movement that is not typically administered… as being prescribed for a medical treatment or psychiatric condition” (Fryer 27). Clearly, there is a stark difference between the physical and mechanical restraint uses as compared to the chemical, for many would consider injecting an adolescent with a medication that they are not prescribed for as being unlawful. Seclusion of a patient involves confining a patient, voluntarily or involuntarily, to a set space or location without any social interaction, but sometimes the patient is adamant and refuses to adhere to the order.
The ethical issues that are faced in nursing homes stem from a conflict of the institution's policy, staffing concerns regarding safety matters, and the general desires and preferences of the residents. When moving into a nursing, there is a loss of privacy as many residents share bedrooms, bathrooms, and common areas. The resident’s independence and decision-making ability over matters such as what to eat, wear, and their entertainment can all be controlled by the nursing facility, and this leads to a loss of autonomy. There are also concerns when the decision-making capacity of a resident conflicts with the general well-being of the nursing home populations. Moral issues that come into play when the resident has demonstrated a lack of competent decision-making practices is that who’s input regarding the resident's well-being has their best interest.
Mahatma Gandhi, the preeminent leader of the Indian independence movement states “You can chain me, you can torture me, you can even destroy this body, but you will never imprison my mind.” This is important because torture is brutal on the body and mind. The article “Torture’s Terrible Toll” by John McCain is more convincing then the article “The Case for Torture” by Michael Levin because McCain provides more logical reasoning, he adds his own personal experience of being a captured prisoner during the Vietnam War, and he creates an emotional bond with people around the world. Through more logical reasoning McCain Argument is more valid than Levin.
Writing Assignment 3 Traditionally, intermediate sanctions are designed for offenders who require a correctional opinion that is more punitive and restrictive than routine probation but less severe than imprisonment. Intermediate sanctions are used for a variety of offenders. Persons accused crimes and released into the community, persons convicted of misdemeanors and felonies directly sentenced to an intermediate sanction, and jail inmates. Unlike probation and parole, it is difficult to accurately determine the number of offenders involved in intermediate sanctions or even the number of intermediate sanctions that exist in different areas. Intermediate sanctions are alternate punishments used to monitor offenders who are neither under
(Christianson JB, Warrick LH, Wholey DR, 2005). In this essay, the issue of gatekeeping will be discussed, the paper will be structured around the following main discussion: Whether Amber and Bradley are subjected to gatekeeping and if so, in what way. What some of the advantages and disadvantages for Amber and Bradley as patients due to having to go through gatekeeping or not. On top of this, advantages and disadvantages of gatekeeping for the health systems that use and don’t use it will also be discussed in concepts of access, quality, efficiency and
Violence against healthcare providers is a significant problem that has been receiving growing attention. Incidents of workplace violence are experienced by nurses and physicians on a day-to-day basis, especially in emergency departments. The corollary of this phenomenon has become a significant matter due to the psychological stress it is placing on healthcare providers, hence affecting their efficiency and productivity. We may often undermine the consequences of workplace violence, but studies show that it may cause distress, apathy, rage, disappointment, helplessness, anxiety, self-doubt, and insecurity of healthcare workers. (Öztunç 360-365)Hence, their entire job performance is decreased and absenteeism is increased.
A study was done to view just how much horizontal violence could affect patient safety and it was found that there was an increase in patient falls and a delay in care due to nurses not communicating to one another or not wanting to help a fellow coworker when asked