This research on patient restraints was conducted in the New Jersey State Division of Mental Health Services when one hospital unit had averaging 36 restraint episodes per month. As per their study, “the most commonly used management strategies were physical restraint (44%), sedation (35%), and seclusion (20%)” (Sclafani et al., 2008, p.32). Their study concluded that seclusion and restraint could even result in patient’s death.
Clinical question: Are we following good ethical principle when we restraint our patient?
The purpose of this research was to enhance care provided to patients who were diagnosed with developmental disabilities and mental illness. Sclafani et al., 2008, came up with this idea of not restraining patients, …show more content…
Pervasive environmental features and living conditions in an institution that contributed to the behavioral problems seen with these patients.
C= Comparison of interest
Following ethical principle vs patient restraint.
Therapeutic treatment vs mental torture.
Instead of restraining patients with developmental disabilities and mental illness, they decided to put all of them in lock down unit where they freely walked around and socialized. As the result, patient felt more independence and freedom from all the restrictions and it also reduced injuries.
O= Outcome
The efforts resulted in restraint reduction from 36 episodes per month to 0 episodes per month when care was given on a specialized lock down unit for patients with developmental disabilities and mental illness (Sclafani et al.,2008).
T= Time
This research was conducted in sixteen months period to see changes in patient with and without restraints.
References
Sclafani, M. J., Humphrey, F. J., Repko, S., Ko, H. S., Wallen, M., & DiGiacomo, A. (n.d.). Reducing patient restraints. Perspectives in Psychiatric Care, 44, 32-39.