Relatively little research has been done on the use of restraints on the aging adult; this paper will be a comparative tool to show the different forms that are currently being used, its effects on the population and the interventions that are successfully integrated.
Psychiatric patients sometimes undergo a phase of aggression and violence because of their mental health problems for example dementia. Management of such patients is a difficult task for nurses. Restraints or seclusion are come under strategies that are used to control the hyper psychiatric condition of aging adult (Stewart et al., 2010). Nurses have been found restraint or seclusion as last resort for treatment or safety of patients.
Restraints can be defined as a position …show more content…
Sometimes even it can cause the subsequent death of patient (Engberg et al. 2008 ).To add in this, retrospectively analysis of restraint practices on adult patients in the hyper psychiatric state showed little research. Rather some research studies have been done to manage aggression, violence and fall situation in aging adults regarding restraints. That predominantly provide data that the inpatients restrained once or multiple times. In these studies, mental patients with dementia were kept under observation in order to examine the effect of restraint on inpatients’ mental health.
The data showed a clear image that patients who were restrained on regular bases during their treatment remained in the hospital for more time as compared to patients who were restrained because of some other mental issue. Furthermore, this study also pointed out some critical evidence regarding the behavioral association of dementia inpatients along with an understanding of need psyche of other patients. So, this has revealed that reduction in the use of restraint can be achieved by using these strategies (Gerace et al., …show more content…
This training also includes behavior treatment of psychiatric inpatients. The high ratio of staff to patient is a factor that reflected a significant decline in restraint and seclusion intervals.
• Patient specific formalized reviews of structural restraint or seclusion and progressive review of intervention with proper monitoring by a team. This cause reduction in restraint to some extent.
• To manage the crisis situation of psychiatric inpatients, collaboration among nurses and caregiver staff has a significant role in reducing the need of restraining and seclusion strategy (Stewart et al., 2010).
• According to medication change, little statistical results have been reported, Chengappa et al. (2002) studied the effect of clozapine medicine that causes a significant decrease in restraint. This data provoke the research studies on total medication effectiveness for the reduction of restraint trials (Stewart et al., 2010).
Conclusion Taking into account all the prospective of mental health, it is open that any psychiatric inpatient is very difficult to handle in his aggressive and violence phase. In such uncontrollable scenario, hospital staff go with restraint or seclusion as a last way out. Under ethical committee, it brings a tight spot among clinical and ethical groups. Especially in case of aging adult, it seems to be helpless to restraint such
Psychiatric patients sometimes undergo a phase of aggression and violence because of their mental health problems for example dementia. Management of such patients is a difficult task for nurses. Restraints or seclusion are come under strategies that are used to control the hyper psychiatric condition of aging adult (Stewart et al., 2010). Nurses have been found restraint or seclusion as last resort for treatment or safety of patients.
Restraints can be defined as a position …show more content…
Sometimes even it can cause the subsequent death of patient (Engberg et al. 2008 ).To add in this, retrospectively analysis of restraint practices on adult patients in the hyper psychiatric state showed little research. Rather some research studies have been done to manage aggression, violence and fall situation in aging adults regarding restraints. That predominantly provide data that the inpatients restrained once or multiple times. In these studies, mental patients with dementia were kept under observation in order to examine the effect of restraint on inpatients’ mental health.
The data showed a clear image that patients who were restrained on regular bases during their treatment remained in the hospital for more time as compared to patients who were restrained because of some other mental issue. Furthermore, this study also pointed out some critical evidence regarding the behavioral association of dementia inpatients along with an understanding of need psyche of other patients. So, this has revealed that reduction in the use of restraint can be achieved by using these strategies (Gerace et al., …show more content…
This training also includes behavior treatment of psychiatric inpatients. The high ratio of staff to patient is a factor that reflected a significant decline in restraint and seclusion intervals.
• Patient specific formalized reviews of structural restraint or seclusion and progressive review of intervention with proper monitoring by a team. This cause reduction in restraint to some extent.
• To manage the crisis situation of psychiatric inpatients, collaboration among nurses and caregiver staff has a significant role in reducing the need of restraining and seclusion strategy (Stewart et al., 2010).
• According to medication change, little statistical results have been reported, Chengappa et al. (2002) studied the effect of clozapine medicine that causes a significant decrease in restraint. This data provoke the research studies on total medication effectiveness for the reduction of restraint trials (Stewart et al., 2010).
Conclusion Taking into account all the prospective of mental health, it is open that any psychiatric inpatient is very difficult to handle in his aggressive and violence phase. In such uncontrollable scenario, hospital staff go with restraint or seclusion as a last way out. Under ethical committee, it brings a tight spot among clinical and ethical groups. Especially in case of aging adult, it seems to be helpless to restraint such