Chemical Restraint In A Nursing Home

Great Essays
Placing a loved one in a nursing home may be the most difficult and heartbreaking decision one will have to make. The reasons for admitting someone into a nursing home is usually because they cannot provide care for themselves, their caregiver is no longer capable, or they require full-time medical attention. Peace is typically found when one realizes it is the best option for the individual and there will be a quality health care team to support and comfort them.
Susan was admitting into a long-term care centre because she could no longer wash or feed herself, and would consistently get lost and forget things. She was sad to be admitted because she felt like it was the end of the line for her. After a few weeks, she was diagnosed with dementia
…show more content…
The primary ethical principles that are violated are respect for human dignity, autonomy, and non-maleficence. Human dignity cannot be relinquished during illness, disability or approaching death; everyone is entitled to all their rights and freedoms despite their health status. The side effects of the medication can actually cause the symptoms they are supposed to be eradicating. Chemical restraints often leave the individual feeling confused, agitated, and physically sedentary. Robert Harris was described as energetic and lively before entering a nursing home in California (Bisnar, 2011). During the transition he acted like a “regular grumpy old man”, the doctors then categorized him as psychotic and needed to be chemical restrained. The medication made him very confused and drowsy; he stopped eating and drinking as much and lost 10% of his body mass within a month. This example demonstrates the harmful repercussions of improper use of antipsychotics. Respect for autonomy is also violated when using chemical restraints, the resident should be able to make choices for themselves. Everyone is entitled to the right of self-determination; and if they are not cognitively able to do so, then the family’s opinion should be considered and they should always be informed. The non-maleficence principle “to do no harm” is violated as chemical restraints cause physical harm to the residents. Chemical restraints have been proven to increase risk of falls, muscle weakness, incontinence, malnutrition, and increase dependence in activities of daily living (Gastmans & Milisen,

Related Documents

  • Improved Essays

    While no official laws regarding the use of physical restraints in nursing homes and assisted living facilities exist, many elderly care facilities tend to have their own policies regarding the use of physical restraints. Most facilities are against the use of physical restraints because it conflicts with elderly care facility’s purpose of keeping a resident’s dignity intact. It is difficult to ensure the legal security of people with dementia because while they have protected rights and freedom, that freedom can be limited while in care (9). Using physical restraints is a way to limit the patient’s independence; therefore, the use of physical restraints is often avoided at all costs. If an elderly care facility actively upholds their vision…

    • 1470 Words
    • 6 Pages
    Improved Essays
  • Decent Essays

    Physical abuse is one of the many cases of abuse that happen in the nursing homes. It’s defined as the Non-accidental use of force resulting in injury, impairment, or pain and causing are hitting, slapping, shoving, force feeding, restraining by chemical or physical means (Watson, 2013). In addition, unsuitable drug users, as well as punishment, are also considered as physical abuse. Elders get physically abused by their family members, caregivers, and other residents. Physical abuse is more noticeable compared to other abuses because elders seem to have thinner skins and are more sensitive to harm. Physical abuse generally happens in facilities like long-term care, nursing homes and assisted livings.…

    • 126 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Nursing homes are similar to hospitals because they are both overflowing with patients. Nursing homes are overflowing with the elderly. When the elderly are in the process of being put into the nursing home they usually tend to think they are a burden on their family. They may become depressed because they don’t get to go out in the outside world, and they only people they get to talk to are their families. The resident may eventually go insane because they are in such a cooped up area, and they see the same people each day. They may also think they are a burden because they know they are making their family pay for the residency at the nursing home, and that could cause them to think horrible things. The family may also feel bad for the patient…

    • 390 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    There was hope that she would beat the sickening leech on her brain. Our family rejoiced in the fact that we had the chance of having her a little bit longer. But all of a sudden, her conditions worsened and the world became gray again. My aunt was a “vegetable” per say, she wouldn’t move, talk, or eat on her own. It was then that I realized, I had to go because I didn’t know how much time there I had left to see my favorite aunt.…

    • 491 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    Topic sentence 1: A mentally impaired patient may still able to make decision for his or her healthcare. A mentally-ill patient can still refuse lifesaving treatment even if he or she is known as “mentally ill”. The term itself does not mean that the person is automatically derived from their capacity and rights. It is still very much depend on the patient’s degree of mental impairment. Due to that, all patients must be assessed for their capacity to give consent and must be given opportunity to receive adequate and effective information in helping them to understand the consent regarding such treatment. A mentally competent patient cannot be forced to accept treatment without consent (Wheeler, 2012).…

    • 309 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    In the medical field there is a never-ending variation of patients, but all patients can be broken into two main categories based off the mental cognitive ability. Those categories are cognitively impaired or aware, meaning that the patient is able to mentally process information with comprehension, judgement, and has control of emotions. Patients who are cognitively impaired have the exact opposite in various degrees. As we had spoken to Lisa Edwards a Certified Nursing Assistance in the state of Indiana for over seventeen years. Accepting awards such as perfect attendance and C.N.A of the month several times Lisa explains as a certified nursing assistant that she has used countless types of restraints chemical restraints, physical restraints…

    • 766 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Evidence-Based Practice

    • 566 Words
    • 3 Pages

    If it is deemed necessary, and the there is a threat of danger to themselves or anyone else, we as clinicians have a duty to inform the local crisis service boards (CSB) and sometimes the local police. The CSB’s then can come and evaluate and determine if a temporary detaining order (TDO) needs to be obtained. When determining an individual’s capabilities to make informed consent we must take heed not to violate their basic human rights. There are ethical standards that still have to be upheld. When someone is in an acute crisis in the facility there has to be just cause to force medications. The crisis should be that, if the patient is at risk of harming himself or others, the least restraining methods should be attempted initially. Other areas of ethical dilemmas are in the case when young children or older adults come in to the intake department and there is suspected abuse. It is the duty of the clinician to report this to the proper authorities. Mental health can be trying and taxing. It is very important that you, as a clinician, are able to disassociate but still be able to provide empathy and…

    • 566 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Martha Rogers Case Summary

    • 1172 Words
    • 5 Pages

    A major role of practicing healthcare professionals in today’s society is their moral and ethical approaches to a patient’s overall care. In this specific case, Martha Rogers, an 85-year-old gerontology patient, was admitted to a psychiatric unit of the hospital due to confusion and increasing irritability. Following evaluation, healthcare providers found she was dehydrated which may have caused some of the symptoms that she was undergoing; Mrs. Rogers, however, became calm and cooperative with the staff after the administration of fluids. After Martha Roger’s episode was temporarily contained, it was important to identify the next steps in her medical process. A healthcare team, consisting of a registered nurse, an occupational therapist,…

    • 1172 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    A variety of options exist, with assisted living being just one of those options; albeit one of the most popular and widely used. Other alternatives include care homes, continuing care, and independent living facilities. Only you and those around your loved one know the level of care required so you are best placed to determine the next step as long as you understand the differences. The Internet is literally packed with information on a variety of topics associated with assisted living for seniors.…

    • 616 Words
    • 3 Pages
    Superior Essays
  • Improved Essays

    Dementia Ethical Issues

    • 889 Words
    • 4 Pages

    So I think that a more hands on approached with the Doctors will be beneficial when prescribing antipsychotic medication. I do believe that sedating patients minimizes the work load of the nurses, and also represents a significant cost containment method by the nursing homes. This on unethical and in humane I believe that they are acting in the best interest of themselves and of the facility instead of the patients. According to the nurses’ union of Canada “the system lacks the nimbleness to adjust available nursing hours to changes in patient acuity, and the political will to create systems that acknowledge that matching staffing level to patient needs saves lives”(Nurses Union,…

    • 889 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Since more than 90% of psychiatric hospital bed that existed in 1960 are now gone, state's haven't taken the opportunity to treat the severely mentally ill. Involuntary commitment is the process in which someone with a mental illness can be forced against their will into a psychiatric hospital or institution. Though each state has a different law according to the process, they all have the same general idea. For example, in Maine, the law states that if a person with a mental illness poses a threat to themselves or another person, they can be forced in a psychiatric hospital against their will. This process can also involve assistance from the police. Some perceive involuntary commitment as invalid. "Is there any evidence that persons with mental illness are actually more dangerous to others than random members of the general public?" says Alicia Curtis, psychiatric social worker. With societies humanitarian obligation to not degrade these citizens, the courts need to make the decision to base involuntary commitment on helplessness, rather than solely…

    • 1482 Words
    • 6 Pages
    Improved Essays
  • Superior Essays

    Alzheimer's Research Paper

    • 1104 Words
    • 5 Pages

    Nursing homes are sometimes required for those who suffer with Alzheimer's. Nursing homes sometimes have a bad reputation, but they are extremely helpful and necessary. When family put loved ones into a nursing home, that does not mean substituting their help, it is just an extra helping hand that they need (Woods). Putting someone in a nursing home does not mean a person has given up on them. Friends and family may feel helpless when trying to care for a loved one suffering with Alzheimer’s, and placing them in a nursing home may be their only option. Working in a nursing home, I have seen firsthand that family members still deeply care and love the ones they have put into a nursing home. People come in regularly to visit their spouses, friends, or…

    • 1104 Words
    • 5 Pages
    Superior Essays
  • Decent Essays

    Restraints In Acute Care

    • 249 Words
    • 1 Pages

    One nursing practice that has changed significantly over time is the use of restraints. Falls ad injury prevention has always been a challenge in patient care, and unintentional falls are the most common cause of nonfatal injuries for people older than 65 years (NCBI, 2015). With that information in mind, we could ask: What is the efficacy of restraints in decreasing the incidence of falls in patients 65 and older in acute care settings?…

    • 249 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    The Case of the Careless Caregiver is about the care of Grace H who retired 10 years ago as a high school English teacher in Pine Junction, due to early signs of dementia. After her retirement from teaching, Grace went to live at Happy Valley Nursing Home where her Dementia progressed into Alzheimer’s disease. After living at Happy Valley Nursing Home for nine years and appears to be content with her living situation, Grace started showing marked changes , like eating less, staying in bed, complaining of being tired, and being paler than usual. After consulting with her staff the Director of Nursing at the nursing home decided to send Grace to the hospital to see what was causing her listlessness, where her treating physician…

    • 1093 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    As we all know ethics in treating the mentally ill is a contraversial issue. Varies studys and theorys have provided different opinions and ways of going about treating the issue. Since the mental health act in 1983 the use of restraint on mentally ill patients has come along way, however there is still improvement to be made I'm sure. The essay will analyse the key ethical issues involved determing the issue by, considering arguments for for and against the use of restraint and what people's views are on it. It will then go on to describe ethical theories such as metaethics, situation ethics and utiltarism and also go on to give evidence to back up points made. Finally I will draw up some conclusions to summarise key points made in the…

    • 902 Words
    • 4 Pages
    Improved Essays