In the Health care system it is important to provide best quality care in a safe environment and ensure dignity of care. So, interventions like using restraints on patient is necessary to ensures patient safety as well as safety of others. (Crozer Ketstone, 2009). “Restraints are physical, chemical or environmental measures used to control the physical or behavioural activity of a person or a portion of his or her body” (CNO, 2017). The extensive use of restraints is an issue of increasing concern in today’s nursing practice. It is an argumentative and controversial issue over the years and its use has both positive and negative outcomes. Restraints are often used to control the behaviour of people with mental conditions in a variety of …show more content…
And most of times restraints are considered as a nursing intervention to keep the patient from pulling at drains, lines and tubes or to prevent patient’s movements from when it’s restricted. Nurses should always focus on evidence- based practices within the setting of the nurse-client relationship and on methods for assessment, prevention, and use of alternative practices to prevent the use of restraints and move on to restraints-free care in various settings such as acute, long term and home health-care. In Ontario, the Patient Restraints Minimization Act advice healthcare settings to look over alternative methods and use restraints only as a last option when a person is at harm to themselves and/or others (RNAO 2012). The hospital has a legal and ethical responsibility to support a least restraint policy that provides a safe and therapeutic environment for patients and health care …show more content…
There are boundless noted cases of people who are restrained and become incapable to move, incontinent and verbally disruptive. The emotional effects of restraints can include isolation, depression, panic, and anger. Social effects of restraints can include loss of dignity, self confidence, freedom and self-esteem. Physical effects of restraints include pressure ulcer, infection, incontinent and verbally abusive. Though province promotes the philosophy of client-centred care, the use of restraints is being acceptable for the following
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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).
Qualified mental health professionals, expunging the use of solitary confinement, and
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.
Those with a mental illness in prison have been known to develop it while being held in solitude. Solitary confinement is used as a way to correct an inmates’ bad behavior. Many have been against solitary confinement for many reasons. Scientists and psychologists have researched the punishment of solitary confinement
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.
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
Registered nurses are required to deliver wide-range nursing attention and treatment to all persons in a healthcare setup (American Nurses ' Association, 2000). Notably, they have to offer emergency care and guarantee the safe execution of treatment. It is mandatory for nurses to demonstrate a broad knowledge of the laws and regulations that are in line with their profession. Additionally,
Coercive treatment involves the treatment of an individual whom does not want to seek treatment or does not think that they require treatment. I believe that coercive treatment is a defensible practice as the practitioners working against the will of their patients, are doing so in hopes of helping the individual suffering from a mental disorder. There are many reasons as to why individuals may not believe that they require any sort of treatment. These reasons range from not realizing the consequences of their actions, fear of judgement, misinterpretation of symptoms, etc. There are a few recounts from Voices from the Inside, which display the correct use and need for coercive treatment, deeming it to be defensible.
Within juvenile detention facilities, staff place children in isolation for varying periods of time, ranging from hours to months. The reasons staff place children in solitary confinement cells vary widely from one facility to the next, and even from one staff to another at the same facility. Employees often place a youth in isolation because it is the easiest and fastest way to ensure facility security. Some rationales for the practice are: safety, security, disciplinary, administrative, protective and medical. Using this method to control a youth’s behavior or for a disciplinary reason is very common.
(Joint Commissions, 2014).It is important for nurses to explain how to use the call light to the elderly patients, and also to ask for help before getting out of bed. Vulnerable patients should be placed close to the nursing station for close monitoring. It is very important to educate health care workers on the approaches used to prevent falls. The measures used to prevent falls in the elderly could include; carrying out a risk assessment during admission, placing colorful stickers outside their doors, stopping the use of psychotropic medications, teaching them the best way to use their assistive device, placing their call light and belonging within their reach, placing their beds in the lowest position with brakes /wheels locked at all times, removing throw rugs from their surroundings, making sure that they are wearing non-skid shoes/socks before ambulating and also giving them their prescribed Vitamin D supplement as well as encouraging them on the use of their corrective glasses or hearing aids. It is very important to educate health care workers on the approaches used to prevent
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.
Objective One During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.
The Mental Health Act 2007 allows people with a mental disorder to be admitted to hospital, detained and treated without their consent – either for their own health and safety, or for the protection of other people (Mentalhealthcare.org.uk, 2015). Under this legislation a person can be admitted and given treatment against their wishes. Detainees are always told their rights so that they do not feel as though they are being punished; they also have the right to appeal. To be able to detain a person, they must be struggling to care for themselves and a risk to both themselves and others. Additionally, it must be the last resort because all other forms of treatment have been tried to no avail.