Ethics of Chemical and Physical Restraints Essay

1361 Words Nov 26th, 2012 6 Pages
Ethics of Chemical and Physical Restraints

Ethics of Chemical and Physical Restraints
A restraint is the use of some kind of equipment or drug used for the purpose of restricting a patient from free will movements. There are times when using restraints would seem like the best thing to do for a patient, but in-fact it could be quite the opposite. Agens Jr., J. (2010).
The use of restraints is mostly used to deal with an agitated patient, mainly can be found in residential-care facilities. Those 65 years and older have been reported to have higher restraint use rate in residential and acute care facilities. Many have been found with at least two different types of restraints at the same time. Mott, S., Poole, J., & Kenrick, M.
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Then some sort of restraint may need to be used but not before it was clearly documented with the situation, followed by an assessment of the patients behavior, and a physician’s order. This must be done right before or right after the institution of any restraints. No restraints should be used without failure of all other alternatives. These patients with the dementia and delirium may be given an antipsychotic drug to restrain them but this does not have FDA approval. In a meta-analysis, Agens Jr., J. (2010) it has been shown that an increase in death of 1.6 to 1.7% with the elderly patients. Different researches have also suggested that any antipsychotic medications can cause death just as easy. With this known risk it is very clear that if this medication is used that should not only be prescribed by the physician but also be documented for the informed consent process.
The Omnibus Budget Reconciliation Act of 1987 (OBRA 87) brought the results that say patients have every right to be free without the use of restraints and are not to be used for convenience or for discipline purposes. It also states that a patient being uncooperative, restless, wandering or being unsociable does not justify in the use of any kind of restraint.
In the case of delirium or dementia that opposed any danger to others or to

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