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Essay on patient restraints
Essays on physical restraint in mental health settings
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In 2001, over 450 million people worldwide suffered from mental illness (World Health Organisation, 2001) and these numbers have increased by a wide margin since then. Using restraints in treatment for those who are mentally ill is a topic that creates a large amount of controversy. Many are concerned with how the use of restraints can affect the person and if they are necessary or if alternative measures could be used. The National Alliance of Mental Illness has indicated their position on restraints, “The use of involuntary mechanical or human restraints or involuntary seclusion is only justified as an emergency safety measure in response to imminent danger to a patient or others.” (The National Alliance of Mental Illness, 2001) There have …show more content…
There are many types of restraints used as treatment for the mentally ill, some of the physical restraints used include; face-down restraints, where the patient is pinned down on the floor with their face down and arms behind their backs; posey’s, where there is a cloth vest placed around their chest and belts, which goes across the person and keeps them pinned to a bed or chair. There is also the use of chemical restraints as treatment; this is when medicine is used in order to restrain the person, the medicine would be specific to the mental disorder the individual suffers …show more content…
Will Hall, who was diagnosed with schizoaffective disorder; talks about a time where he felt the use of restraints against him were unwarranted. He stated, “I was put in restraints - not because of anything I did but they said it was just for transporting me to the hospital”. From this it can be seen that whilst it appears there was no foreseeable danger to Hall or others around him, restraints were still used, arguably unnecessary. Hall also mentioned, “after being restrained I had nightmares that I was being raped”, this highlights the emotional effect restraints can have on a person and how if used for needless reasons, can have adverse side effects. As a result, this shows that the use of restraints in certain situations can be viewed as unethical. In February 2014, Joshua Messier died due to the use of restraints on him during a schizophrenic attack. Boston Globe told the details of the event where they stated, “his heart stopped during the guards’ effort to strap him down”, this happened due to Messier being suffocated from being pinned down in the face down restraint. Alike to Will Hall, this is another case in which the use of restraints can be seen as
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
Modern psychiatric hospitals evolved from, and eventually replaced the older lunatic asylums. The treatment of inmates in early lunatic asylums was sometimes brutal and focused on containment and restraint with successive waves of reform, and the introduction of effective evidence-based treatments, modern psychiatric hospitals provide a primary emphasis on treatment, and attempt where possible to help patients control their own lives in the outside world, with the use of a combination of psychiatric drugs and
In the 1800’s people with mental illnesses were frowned upon and weren't treated like human beings. Mental illnesses were claimed to be “demonic possessions” people with mental illnesses were thrown into jail cells, chained to their beds,used for entertainment and even killed. Some were even slaves, they were starved and forced to work in cold or extremely hot weather with chains on their feet. Until 1851, the first state mental hospital was built and there was only one physician on staff responsible for the medical, moral and physical treatment of each inmate. Who had said "Violent hands shall never be laid on a patient, under any provocation.
Solitary confinement has the ability to shatter even the healthiest mind when subjected to indefinite lockdown, yet the mentally ill, who are disproportionately represented in the overall prison population, make up the majority of inmates who are held in that indefinite lockdown. Within your average supermax prison in which all inmates are subjected to an elevated form of solitary confinement, inmates face a 23-hour lockdown, little to no form of mental or physical stimulation that is topped off with no human interaction beyond the occasional guard to inmate contact. It is no wonder ‘torture’ is often used synonymously to describe solitary confinement. For years, cases arguing against solitary confinement have contested against its inhumane
Forcing someone to take medication or be hospitalized against their will seems contrary to an individual’s right to refuse medical treatment, however, the issue becomes complicated when it involves individuals suffering from a mental illness. What should be done when a person has lost their grasp on reality, or if they are at a risk of harming themselves or others? Would that justify denying individuals the right to refuse treatment and issuing involuntary treatment? Numerous books and articles have been written which debates this issue and presents the recommendations of assorted experts.
Have you ever felt stuck? Wherever you are, it’s the absolute last place you want to be. In the book Into the Wild, Chris McCandless feels stuck just like the average everyday person may feel. Chris finds his escape plan to the situation and feels he will free himself by going off to the wild. I agree with the author that Chris McCandless wasn’t a crazy person, a sociopath, or an outcast because he got along with many people very well, but he did seem somewhat incompetent, even though he survived for quite some time.
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
If a person convicted of a crime shows no signs of being mentally ill when entering a prison which enforces the long-term use solitary confinement, by the time they completed their sentence and are released, their mental health will have been severely compromised. Studies have shown that the long-term use of segregation in prisons can cause a wide variety of phycological effects such as anxiety, psychosis, depression, perceptual distortions, and paranoia, often leading to a desire to self-harm or in more severe cases suicide. Not only is it wrong to hold a criminal in solitary confinement for any longer then fifteen days, it is unconstitutional. Although many believe the use of solitary
Metzner, J. L., & Fellner, J. (2010). Solitary Confinement and Mental Illness in U.S. Prisons: A Challenge for Medical Ethics. The Journal of the American Academy of Psychiatry and the Law, 38(1), 104-108.
more drastic measures are taken to control the patients. One of these methods even leads to a
Coercion can be defined as forcing someone to do something they do not want to do. In order to determine if coercion will be successful or not one has to look at four key principles: communication, capability, credibility and compliance or “target will.” While the peace settlements after World War I could have been considered coercive, they probably had very little chance of success based on these four stated principles. France communicated that it wanted unreasonable demands including unlimited reparations for the war. Without Great Britain and the United States, France had little capability in enforcing the settlements. In addition, it had little to no past reputation of being able to support its decision in upholding the settlements. Finally,
It is very hard to differentiate an ordinary mental health from a mental illness because there is no easy way of knowing unless you test them. Also, some mental health illnesses can be imitated by physical disorders. Mental health illnesses are ruled on any physical disorder, they are diagnosed and treated from the signs and symptoms, and also on how much the illness affects your everyday life ("Mental health: What's normal, what's not - Mayo Clinic", n.d.). Civil commitment laws have been around in the United States ever since the 1800s. Civil commitment cases mostly consist of family members of a mentally ill person who will try to commit the person in order to guarantee that they get help. The court system does not always care for civil commitment if the person is not showing direct danger or threats to them self or to others around them ("Civil Commitment of the Mentally Ill", n.d). In this paper we will talk about the insanity statutes being used in the state of Georgia and how often the insanity defense is being used, and the major criticisms of the insanity defense.
The reason for selecting this topic is that being an enrolled nurse in an acute mental health inpatient unit for the past 7 years, I have found myself in the situation where I have been a participant in placing a patient in seclusion on numerous occasions and I have conflicting views as to its appropriateness.
Many of these unfortunate symptoms are especially worrisome for mentally ill inmates. Because the prevalence of mental illness in supermax facilities is not known, the effects of solitary confinement on the mentally ill must be gleaned from multiple sources. The state of our knowledge is more than sufficient to cause distress, however. According to one researcher: Solitary confinement cells are grossly inappropriate for the mentally ill. . . These cells are constructed to minimize sensory input of any kind to the inmate. They provide the type of atmosphere that produces sensory deprivation stress or psychotic reactions, particularly in inmates who are borderline or overtly psychotic. The empirical evidence supports this contention, as well as the conclusion that solitary confinement may have deleterious effects on non- mentally ill inmates.” (Law and Psychology Review pgs. 213-214) Inmate mental health is a complex issue. Most correctional facilities lack the onsite staff needed to provide continuous mental health treatment. This critical personnel shortfall is an ongoing
Every person has wondered about something - whether it be a person, place, thing, law, or anything that someone can think about. They ask questions both rhetorical and actual to themselves, and usually make it a mission to answer these questions. Some of the biggest questions have something to do with culture and religion. One of the most major questions of all time - to what extent does an individual have control over the outcome of his or her life? There are many different opinions on this topic.