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Opinion and debate the use of physical restraints
Essays on patient restraints
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Recommended: Opinion and debate the use of physical restraints
In October of 1998, the Courant’s survey of the 50 states identified that 142 individuals died in physical restraints or seclusion. Another study was done in four Turkish hospitals from July to September of 2005. The study’s findings were, “Nurses used either wrist, ankle, or whole body restraints at various levels. Those nurses who worked in surgical intensive care units and emergency departments and had in-service training used more physical restraint than did others. Only a third of nurses decided on physical restraint together with physicians and three-fourths tried alternative methods. Nurses reported edema and cyanosis on the wrist and arm regions, pressure ulcers on various regions, and aspiration and breathing difficulties in relation to physical restraint. …show more content…
These can include mind altering medication to control a patient and physical restraints. Physical restraints are anything near or on the body which restricts movement of a patient. A physical restraint can be anything from lap buddies to vests. In his article, “Restraints: The Last Resort,” the author’s argues that physical restraints in emergency medicine should be the last resort because (1) the use of restraints or seclusion is being used as a means of coercion, discipline, convenience, or staff retaliation, (2) That we need to discontinue the use of restraints or seclusion as soon as possible, regardless of the duration of an order, and (3) explain the reason for restraints and the procedure, including periodic release from restraints to the patient and any family members present. In this research paper, I will argue against the use of physical restraints unless someone is educated, trained, and only in certain situations, whether it may be a mind altering medication or physical restraints in emergency
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
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
While solitary confinement is one of the most effective ways of keeping todays prisoners from conflict and communication it is also the most detrimental to their health. According to an article by NPR.org the reason for most solitary confinement units in America “is to control the prison gangs (NPR, 2011).” Sometimes putting a gang member in solitary confinement reduces the effect that confinement is supposed to have when the confined inmate starts losing their mind. The prisoners kept in solitary confinement show more psychotic symptoms than that of a normal prisoner, including a higher suicide rate. Once a prisoner’s mental capacity to understand why he or she is in prison and why they are being punished is gone, there is no reason to keep said prisoner in solitary confinement. Once your ability to understand punishment is gone the consequences of your actions lose value and become irrelevant.
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
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.
The study continues on to explain further ramifications, such as, physical effects. This shows some of the devastating effects the practice of administrative segregation has on inmates’ mental and physical well-being. Often, it is the mentally ill that are unfairly subject to this practice. “Mentally ill inmates may find themselves inappropriately placed in administrative segregation because of a lack of other suitable placements, protective custody reasons, or disruptive behavior related to their mental illness.” (O 'Keefe 125). Instead of providing safety to inmates and staff as the prison system claims administrative segregation is for, its main objective is social isolation. Which is one of the harmful elements of AS that makes it torture. Additionally, an annual report from the Canadian Government’s Office of the Correctional Investigator’s states, “close to one-third of reported self-injury incidents occurred in (federal prisons) segregation units”. Therefore, one can infer that the negative effects of AS are contradictory to providing safety to inmates. UN Special Rapporteur on Torture Juan Mendéz proposed administrative segregation should be banned as the “isolation of inmates amounted to cruel, inhuman or degrading treatment or punishment or – in more severe cases – to torture.” The ramifications of administrative segregation amount to what is defined as torture by lawyer and human rights Juan Mendéz. Administrative segregation is an unconstitutional treatment of inmates and does not constitute the values of our society, or the dignity and humanity of all people. Which is contradictory to rehabilitating a person to be physically, socially and mentally restored for reintroduction into society. Its use in Canada’s prison system is unjustified, unethical, and ultimately,
This literature review is focusing on discussing the effects of seclusion and restraints on treatment consequences of patients in mental health area. Seclusion and Restraint are used for controlling the behavioral patterns of the mentally ill patients in different surroundings consisting of psychiatric management facilities and hospitals (Kentley, 2009). Over past decade, comprehensible consensus has come out that seclusion and restraints are secure interventions of last alternative and application of those interventions should and can be diminished significantly (Knight, 2011). However, recent studies indicated that it is traumatic for patients experiencing or witnessing restraint and seclusion traumatic; patients can feel high levels of anxiety, fear, and anger once aware that restraint is going to take place, sometimes it could resulting in an exacerbation of patient’s mental status (Stewart et al, 2010). Due to the humanitarian, ethical, and legal issues which could lead to, seclusion and restraints are known as the most controversial management strategies (Holmes, Kennedy & Perron, 2004). Previous studies and researches could not analyze this topic adequately; thus, further researches and studies related to the effects and risk managements of using seclusions and restrains will be discussed in below.
While in medical Justine was struggle allowing the nursing to check her wound. After getting treatment Justine was able to leave the nurse suite and walking into the 502 hallway. Once she reaches the 502 hallway she sat down on the floor and removed her protective boot and began to removal her wound dressing. Staff attempted to use caring gestures and hurdle help to support Justine and encourage her to use her words so that could understand what’s going on. Justine was able to removal her dressing and staff placed her in a seated restraint from 4:40pm to 4:48pm. Justine was able to recovery and come down to baseline. Staff remains seated next to using caring gestures and encourage Justine to allow the nurse to redress her wound. Nurse Carol
An article was released by the The Journal of American Academy of Psychiatry and Law which they discuses the challenge that medical doctors face when dealing with inmates that have experienced solitary confinement. Solitary confinement involves isolation from other inmates or any form of communication which has been linked to physical torture (Metzner). Inmates that are either in Supermax prions or wings of prisons that are only solitary confinement, experience abnormal environment, extreme security and only are allowed fours a week to leave their cell (Metzner). Solitary confinement can be very hurtful to an inmate’s mental health especially if they if they have pre existing mental illnesses, if they are in solitary confinement for an extensive period of time and if they have anything available such as radios ...
- Autonomy played a role in this case she, as the patient at her appointment made it very clear to her physician that for any reason she does not want to be intubated or put on a ventilator because she due to the level of discomfort, loss of control, and loss of dignity.
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 rate of errors and situations are seen as chances for improvement. A great degree of preventable adversative events and medical faults happen. They cause injury to patients and their loved ones. Events are possibly able to occur in all types of settings. Innovations and strategies have been created to identify hazards to progress patient and staff safety. Nurses are dominant to providing an atmosphere and values of safety. As an outcome, nurses are becoming safety leaders in the healthcare environment(Utrich&Kear,
Contrary to popular belief, non-fatal and even fatal strangulations leave very few, if any, signs of external injury (Strack et al., 2014, p.88). Frequently, the only indicators of strangulation are internal and therefore harder to detect without proper training. By contrast, choking is an internal blocking of the airway by a foreign object, but this is often used incorrectly to describe strangulation. Subtle signs and symptoms of strangulation are: headache, sore neck, sore throat, trouble swallowing, raspy/hoarse voice, breathing difficulty, vomiting, petechial hemorrhage, loss of bowel control and loss of memory (Strack et al., 2014, p87). A sore throat and/ or voice changes are present in 50-70% of evaluated cases (Foley, 2015, p89). Repeated acts of non-fatal strangulation lead to long term behavioral, neurological and psychological disorders (Strack et al., 2014, p87). Victims of strangulation can die hours or weeks later from a strangulation event if immediate medical intervention is not sought. A published study through the Journal of Emergency Medicine ( October 2008, 35(3), pages 329-335) showed that if a woman survives strangulation even once she is 700% more likely to be strangled again and 800% more likely to be killed later. The lack of physical evidence in strangulations has caused many to treat it as a minor incident, when in fact, they are some of the most lethal cases we will deal with (Gwinn, Strack, Mack., 2014,
Psychiatric Times. (2015). Use of Restraint and Seclusion in the Emergency Department. Available: http://www.psychiatrictimes.com/articles/use-restraint-and-seclusion-emergency-department. Last accessed on 15th Nov 2015.
...compressions and endotracheal intubation. It is argued that inflicting this psychological trauma upon family members is in contradiction to the ethical principle of nonmaleficence. In the event a family member does not tolerate the resuscitation well, it could detract from patient care and thus be detrimental to the patient. For example, members of the resuscitation may need to step away from patient care to aid family members. An additional concern cited is family presence could increase the stress experienced by the resuscitation team and thus detract from patient care. Beneficence and nonmaleficence are ethical principles that are hand-in-hand with overlapping evidence citations. A distracted resuscitation team has the potential to harm the patient. Additional stress imparted on the resuscitation team is not in the best interest of the individual members.