Alternatives to use of restraint: A path toward humanistic care

Raveesh, Bevinahalli Nanjegowda; Gowda, Guru S; Gowda, Mahesh

doi:10.4103/psychiatry.indianjpsychiatry_104_19

Cited by 22 publications

(20 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Además, la guía de restricción alternativa de Ohio recomienda minimizar los cambios en el itinerario diario en los pacientes con deterioro cognitivo, controlar y disminuir el umbral de dolor y evaluar los efectos secundarios de la medicación como desencadenantes de estados de agitación. El manejo de la conducta y la observación del comportamiento en el paciente es crucial para mejorar el enfoque de liderazgo y permitir aplicar métodos de contención verbal estratégicos [16].…”

Section: Discussionunclassified

Conocimientos, actitudes y prácticas acerca de sujeciones físicas en cuidadores de centros geriátricos de la ciudad de Cuenca

Cordero

Delgado

2022

Rev Med HJCA

View full text Add to dashboard Cite

BACKGROUND: The use of physical restraints as a means aimed for partial or general immobilization, in a patient who requires it to try to guarantee his or others safety, in hospitals and long-term residences, has been widely documented and discussed. The aim of this study was to evaluate the knowledge, attitudes and practices about the use of physical restraints of caregivers in geriatric centers in the city of Cuenca, during 2018. METHODS: Descriptive, observational, cross-sectional study in which a survey was applied to 60 caregivers of older adults from 6 geriatric centers in the city of Cuenca-Ecuador. The questionnaire we used, prepared by Suen KPL, evaluated the knowledge, attitudes and practices of caregivers regarding the use of physical restraints. Data was tabulated with SPSS version 22.0 software, percentages and frequencies were calculated; we used Fisher`s exact test searching for statistical association between the relevant variables. RESULTS: 75% of the caregivers in the study population were in a range of 20 to 39 years of age. Of all the participants, 90% were nursing assistants. Regarding knowledge, 66.7% of the participants had intermediate knowledge; only 10% had high knowledge. 83.3% of the participants had negative attitudes regarding physical restraints. Most of the population (68.3%) had very satisfactory practices. CONCLUSION: The caregivers of older adults in the geriatric centers studied in the city of Cuenca are mostly nursing assistants. There is a knowledge deficit in 23.3% of all caregivers. Most of the caregivers presented negative attitudes regarding the use of physical restraints. In relation to the practices, in general, we found a very satisfactory level. With the results obtained, we concluded that there is no significant statistical association between the professional characteristics of the caregivers and the knowledge, attitudes and practices about physical restraints.

show abstract

Section: Discussionunclassified

Conocimientos, actitudes y prácticas acerca de sujeciones físicas en cuidadores de centros geriátricos de la ciudad de Cuenca

Cordero

Delgado

2022

Rev Med HJCA

View full text Add to dashboard Cite

show abstract

“…Proactive approaches are important interventions that can potentially stop ABDs before they occur. The literature lists many examples, but they are often discussed in the context of weak to moderate evidence [2,11,22]. Although there are many efforts to stop ABDs, no single proactive measure has been able to definitively address ABDs [2,11].…”

Section: Contemporary Topics In Patient Safety -Volumementioning

confidence: 99%

“…When environmental/architectural, procedural, and practice-based interventions have been inadequate in staving off agitation and the individual in question has become combative and a threat to staff and self, it is then time to escalate care to the utilization of restraints. Much like the previous section, restraints can be divided into multiple categories: chemical, physical, environmental, and seclusion [22]. Although both chemical and physical restraint are far more commonly discussed in the literature, the utilization of seclusion and the environment as restraint are also important to discuss.…”

Section: Initiation Of Patient Restraintsmentioning

confidence: 99%

Emergency Department Restraint Safety

White¹,

Kustera²

2023

Contemporary Topics in Patient Safety - Volume 2

View full text Add to dashboard Cite

Restraint use during patient care is a serious and important safety topic because it is often utilized in high stress, rapidly evolving, and unique situations in which patients not only pose harm to themselves, but harm to others. The scope of patient safety topic is a threefold approach: initiation, maintenance, and discontinuation. First, a briefly literature pertaining to evidence-based criteria for the initiation of patient restraints will be constructed. Secondly, restraint types and the resources required to maintain restraints will be explicated. Finally, the chapter will conclude with patient evaluation methods pertaining to the safe discontinuation of restraints and resource de-escalation. A succinct, pragmatic discussion on restraint utilization - a method that mitigates a patient’s threat to themselves and others – will be presented in this manuscript.

show abstract

“…While any person experiencing a crisis situation while hospitalized in a mental health facility is likely to be subject to coercion, the use of seclusion and restraint seems more prevalent in men and in people with a psychotic or mood disorder [11,12,16]. The growing body of research on the topic is demonstrating not only the ethical issues of limiting a person's freedom, but also the many potentially harmful consequences for patients and organizations, such as risk of injury, deep vein thrombosis, mortality, distress, post-traumatic stress, perception of punishment, increased hospital stays, increased stigma, and loss of trust in caregivers [12,21,22]. Considering this, the WHO [2,23] has been standing up to defend human rights by calling for restrictive practices to be strictly limited to exceptional use and, in the longer term, entirely prohibited in order to support patient self-determination.…”

Section: Introductionmentioning

confidence: 99%

Seclusion and mechanical restraint in the wake of the COVID-19 pandemic: an increased use in mental health settings

Goulet

Cassivi

Hupé

et al. 2023

Preprint

View full text Add to dashboard Cite

Purpose: COVID-19 pandemic-related restrictions have significantly changed the environment and the delivery of direct care in all health services, including psychiatric hospitals. The aim of the study is two-fold: 1) to retrospectively assess the prevalence of seclusion and mechanical restraint in a Quebec mental health hospital over 4 years; and 2) to assess the impact of the COVID-19 pandemic on their prevalence. Methods: We conducted a retrospective study based on medical records from a Quebec mental health hospital collected (a) from April 2016 to March 2019), (b) from April 2019, to March 2020 (pre-COVID onset), and (c) from April 2020 to March 2021 (post-COVID onset). Descriptive statistics, chi square tests, Mann-Kendall test and Welch's t-test were performed. Results: Following several years during which the use of restrictive measures remained stable, we have noted a significant increase within the first year following the COVID-19 pandemic. This increase can be seen in the use of both seclusion and restraints, which have risen 205% and 170% respectively. Conclusion: There are a multitude of factors associated with the prevalence of seclusion and restraint that have the potential to be triggered during emergencies and global crisis situations, impacting in turn the rights of an already vulnerable population.

show abstract

Alternatives to use of restraint: A path toward humanistic care

Cited by 22 publications

References 34 publications

Conocimientos, actitudes y prácticas acerca de sujeciones físicas en cuidadores de centros geriátricos de la ciudad de Cuenca

Conocimientos, actitudes y prácticas acerca de sujeciones físicas en cuidadores de centros geriátricos de la ciudad de Cuenca

Emergency Department Restraint Safety

Seclusion and mechanical restraint in the wake of the COVID-19 pandemic: an increased use in mental health settings

Contact Info

Product

Resources

About