Restraint is the practice of controlling the physical and behavioural activity of a patient or a specific portion of his or her body using physical, chemical, and/or environmental measures. Various studies have found that the practice of restraints can actually have a negative impact on patient’s mental and physical state. These negative impacts include; increased severity of falls, increased confusion, loss of muscles, chronic constipation, loss of bone mass, the formation of pressure ulcers, emotional distress, agitation, and depression. In addition, there are no studies that demonstrate the use of restraints improved patient safety. However, restraint is still practiced in facilities to prevent the patient from injuring him or herself and …show more content…
In addition, I have a research background which enables me to find the most relevant information from reliable resources. Doing an extensive research relating to the proposition of restraint, it will enable me to propose an intervention for a patient relating to the practice of restraint in future situations. By the end of the assignment, I want to list 2 situational examples of how a nurse would respond to the practice of restraint that is being either requested or denied by family members. Moreover, I will be able to fully understand the process of proposing the appropriate intervention to meet the patient’s needs between the nurse, the patient, and other relevant …show more content…
As mentioned previously, my research background will enable me to find the most reliable resources critically. Furthermore, understanding what to do in a situation where the practice of restraint or alternative intervention is required will enable me to make the most accurate decision if I encounter a situation involving patients exhibiting specific behaviours in my future working environment. By the end of this assignment, I will be able to demonstrate my competence in determining the appropriate practice of restraints and alternative interventions by listing two examples of situations that require the practice of restraint and two examples of situations where alternative intervention is
This assignment will explore a case study on an episode of care where a patient with chronic pain was hoisted. This will be written from the perspective of the author, a student nurse. The purpose of this assignment is to underline the ethical, legal and professional issues surrounding the episode of care during nursing practice and how these issues influence the role of the nurse and their professional judgement in delivering holistic, person-centred care for the patient. The author will cover the complications on delivering care when healthcare professionals should consider and respect the patient’s decisions and personal preferences whether it may benefit the patient or not. Therefore, the author will argue the principles of the patient’s autonomy against the concerns for the patient’s health and well-being, considering what form of care is appropriate and what must be done and how the nurse can maintain their professional role in being an advocate. Moreover, this will consider the nurses’ approach in providing the best care possible by means of ethical, legal and professional values. Furthermore, this assignment will briefly show an awareness of the roles of other professionals involved in the care.
A reality where the prisoner is dehumanized and have their rights and mental health abused. “I have endured lockdowns in buildings with little or no heat; lockdowns during which authorities cut off the plumbing completely, so contraband couldn’t be flushed away; and lockdowns where we weren’t allowed out to shower for more than a month” (Hopkins 154). A prisoner currently must survive isolation with improper shelter in the form of heat. Issues compound with a lack of running water and bathing, a proven severe health danger, especially for someone lacking proper nutrients such as a prisoner in lockdown. These abuses of physical well being then manifest into damage of prisoners’ mental well being. “Perhaps I should acknowledge that the lockdown-and, indeed, all these years-have damaged more than I want to believe” (Hopkins 156). Even for the experienced prisoner the wrath of unethically long lockdowns still cause mental damage. Each and every isolation period becomes another psychological beating delivered as the justice system needlessly aims to damage the already harmed inmates. The damage is so profound inmates even recognize the harm done to them by their jailors. An armed and widely used psychological weapon, the elongated lockdown procedures decimate mental health each and every time
Yet, solitary confinement is still considered necessary in order to maintain control within the prison and among inmates. Solitary confinement is seen as an effective method in protecting specific prisoners and altering violent/aggressive disobedient behaviors, (Maria A. Luise, Solitary Confinement: Legal and Psychological Considerations, 15 New Eng. J. on Crim. & Civ. Confinement 301, 324 (1989) p. 301). There is some discrepancy among researchers as to the varying effects on inmates who have undergone an extensive solitary confinement stay. Most researchers find that inmates who had no previous form of mental illness suffer far less than those who do, yet most if not all of these individuals still experience some difficulties with concentration and memory, agitation, irritability, and will have issues tolerating external stimuli, (Stuart Grassian, Psychiatric Effects of Solitary Confinement, 22 Wash. U. J. L. & Pol’y 325 (2006) p. 332). Although these detrimental psychiatric repercussions of solitary confinement currently appear, several researches have made suggestions as to how these may be avoided. These requirements being that
Seclusion and restraint started out in psychiatric hospitals and have now evolved into many schools. Restraint started out in England in the mid 19th century after having a history of poor conditions. Since Americans did not open up their first state- run mental hospital until 1822, they were unaware of the negative history that happened during the British reformation ("Human Side of Hospitals"). The American physicians thought that the restraints were keeping their patients safe when it was actually mistreatment of their patients. Anything that can be used to restrict the movements of a patient is a form of restraint. Things used as restraints can be leather or velcro wristlets or anklets that are used to hold the patient or attach them to their bed, lock them in their room, or by using sedating chemicals.
Physical restraint, according to Health Care Financing Administration, can be defined as any handling, physical and mechanical methods applied to a patient with the aim of denying him or her the freedom of movement or access to his or her own body (Di Lorenzo et al., 2011). It may involve use of belts or ties that restrain movement of an individual such as seclusion. Seclusion refers to isolation from others, often done in a room that’s I avoid of any furniture and has a small observable window as the only connection to the outside world (Chandler, 2012). The use of physical restraint in handling patients has been on debate for several years now. In most countries such Italy, it
Stewart, D., Merwe, M. V., Bower, L., Simpson, A., & Jones, J. (2010). A Review of Interventions to Reduce Mechanical Restraint and Seclusion among Adult Psychiatric Inpatients. Informa healthcare, 31 (6), 413-424. doi:10.3109/01612840903484113
The healthcare system is very complex, and the nurses should be aware of all the policies, laws, ethics, and available sources to provide quality care to all patients. The following case study will explore some of the decision-making processes the nurses consider while caring for their patients to keep high standards of care.
As a nurse we are responsible for the safety and overall health promotion of our patients. Competency in the nursing field is what ensures patient safety and decreased hospital acquired injury. Continued competence ensures that the nurse is able to perform efficiently and safely in a constantly changing environment. Nurses must continuously evaluate their level of skill and find where improvement needs to be made in order to keep up to date with the expected skill level set by their
420). Where in each situation I encountered, many conversations had passed before I developed the ability to communicate appropriately; it is essential to also anticipate what will happen and build off of that so initial communication is more insightful. Jasmine (2009) found that each individual’s insights and understandings of a situation could directly affect the capacity in which they respond to a certain type of care or how a nurse delivers that type of care. How an individual perceives what is happening in their surroundings or what they have learned through health promotion will affect the level of care they are seeking and in turn help the nurse to anticipate the result of the method they used (p. 420). Jasmine (2009) also stated that in addition to the virtuosity behind nursing, it is also valuable to look at the science and know that it is important to understand the cognitive thinking that goes into the practice. A nurse must be able to use their knowledge base to develop objective information about the client as well as interpret the subjective information that is divulged by the client (p. 240). Jasmine has contrasting opinions to those that I stated, where she finds that technical ability is just as important as drawing on personal experiences to relate with the client. I whole heartedly agree with everything
The CNO maintains a high level of communication and productive relationships with physicians and other healthcare personnel to collaborate in developing standard key processes and evidence-based practice standards. The CNO is accountable for nursing leadership and establishes an environment of professional nursing practice that empowers nurses to provide safe, effective, compassionate, and efficient care. The CNO ensures alignment with nursing standards of practice, legal regulation and regulatory and accreditation
Since, seclusion is a matter conflicting between patient's rights and safety, this issue becomes one of great concern for mental health professionals. If seclusion becomes necessary, then it is important that throughout the seclusion the patient receives a high level of nursing care in a way which maintains their
The article was complicated, but it helped address the learning patterns and what a nurse needs to know in their practice to better themselves and provide the best care for a patient. By acknowledging the patient as a person, applying science based practice, using artful skills, and ethically providing care to a patient, the nurse extends their patterns of knowing and forms their knowledge base.
In an article written by Samantha P. Ziglar, BSN, RN, she describes the main purpose of restraints through her eyes in the medical field. Ziglar states that at least one in every four patients will be restrained at least once, that’s 79.715 million people in the United States (Population). “Specific reasons include fall prevention, limiting wandering behavior and preventing dislodging or interference of therapeutic devices, and controlling violent or agitated behavior” (Ziglar 1). Ziglar emphasises the growing problem among restraints; improper use among nurses. “Patient safety should be every nurse’s top priority; therefore, nurses need to have a thorough knowledge base of the risks and benefits of using physical restraints” (1). As a result of what a nurse needs, restraints are required to succeed in his or her profession, making their patient as safe and comfortable as possible. The purpose of restraints as a whole is to provide patient protection. Ziglar lists the pros and cons of the use of restraints. Some major
Patient safety is always the primary goal any hospital, nursing unit, and health care team. As the main caregiver, a nurse’s responsibility is to keep the patient safe, and free from injuries while the patient is hospitalized (Smith, 2012). The definition of nursing competency lack a direct universal definition, and technique and ways nursing supervisor and managers can evaluate patient care that was provided by a novice nurses (Smith, 2012). As of now, there is not an exact avenue that can help a novice or new graduate nurses to transition into a competent nurse so that patient care is not compromised (Smith, 2012). The author has chosen the topic of Roger’s nurse competency because nurse competency has been the greatest challenges
The development of antisocial behavior is a process that begins in early childhood and evolves into more serious externalizing behaviors throughout the school-age years and into adulthood. Coercion theory, developed by Patterson in 1982, describes how this trajectory begins. This extant literature on coercion theory posits that early interactions with the caregiver shape how children tolerate calls for compliance and teaches both children and parents to negotiate conflict in a coercive manner (Patterson, 1982). There are three basic processes in coercion theory: parental demand, child refusal, and parental withdrawal (Granic & Patterson, 2006; Patterson, 1982; Braungart-Rieker, Garwood & Stifter, 1997). More specifically, a coercive interaction