Psychiatry hospital
Using the details provided below on the story board,write a summary of the safe use of restraints in Psychiatry hospital.
Introduction
A person’s life and the lives of those around them might be jeopardized if they have a mental disorder. Autolesion and agitation are common in patients with severe mental illness. To mitigate the crucial dangers, a patient with an acute mental illness offers, medical professionals often use alternative tactics such as de-escalation techniques and crisis management (Beghi et al., 2013). Even yet, if other means of dispute resolution prove ineffective, mandatory intervention may be used. The use of physical restraint in mental health facilities is common, although the incidence varies widely from institution to institution. Around the globe, anything from 3.8% to 51.3% of patients in mental health facilities has been restrained physically (Beghi et al., 2013). Studies suggest that the frequency with which physical restraints are used on mental patients has increased significantly in the last decade.
Practice Problem
The use of physical restraints in the care of patients and their caregivers has sparked several ethical and practical debates (Allen & Currier, 2004). On the other hand, Bodily restraint is an effective method of limiting the patient’s physical mobility and so preventing additional harm. Medical professionals believe that physical restraint is reasonable in an emergency, but because of theoretical ambiguity, it may be misused with the goal of punishment. Committees of mental health services issued norms and procedures for using physical restraint, and institutions in the administrative region were compelled to follow them (Allen & Currier, 2004). As far as we know, most research has characterized physical constraint in terms of its use and policy inside the institutions they are studying.
In addition, procedures and recommendations focused on implementing physical restraints and their results. While physical restriction in mental health nursing has yet to be defined, this lack of clarity has hampered future study and the advancement of nursing practice. This study aims to analyze existing evidence and the quality improvement process in-depth.
Existing evidence
The features of physical restriction have been described in official texts. Restraint is used to protect both patients and medical professionals from harm. Guidelines for mental health services in the United States, UK, SA, Australia, and Hong Kong contain rules for physical restraint in therapeutic situations (Beghi et al., 2013). Because of these clinical events, the patient has deemed a danger to themselves and others and unmanageable and uncontrollable. According to the recommendations, using prescribed equipment to immobilize a patient’s body necessitates a manual approach.
Restraints, whether physical or mechanical, may be utilized interchangeably. Rather than examining the benefits and risks of physical constraint, previous research has examined restraint’s contraindications and side effects. Researchers first suggested using chains and manacles to pacify angry, combative, and otherwise disturbed individuals as physical restrictions (Allen & Currier, 2004). The physical constraint has been studied extensively, but these studies primarily focused on the psychological repercussions. According to another set of researchers, severe psychotic symptoms, aggressiveness, and agitation are the most important signs of when physical restraint should be used. Furthermore, physical restriction has been characterized as a process to reduce the physical danger an individual poses to others and his or her surrounding environment (Allen & Currier, 2004).