Effectiveness and safety of physical restraint in managing aggression and violence in acute psychiatric settings: - Literature review Example

Only on StudentShare

Extract of sample
Effectiveness and safety of physical restraint in managing aggression and violence in acute psychiatric settings:

The National Institute of Clinical Excellence (NICE), (2005) recommend the use of physical restraint as the last resort to dissipate the impact of a severe physically aggressive behaviour. Harris (1996) cited in Hollins (2010) defines physical intervention/restraint as any method that involves some degree of direct force to limit or restrict movement and mobility. NICE (2005) states that physical restraint is hands on skill method of restraint that can prevent self-harm and harm to others. The purpose of the intervention is to safely immobilise the individual concerned Rationale The reported incident resulting in a service user’s death whilst being restrained (Blofeld, 2004), has resulted in a scrutiny of the intervention. As a result of the generated debate I would like to assess the challenges associated with employing physical restraint in managing aggression and violence in acute psychiatric settings. There is also a need to examine the supporting evidence base for the use of physical restraint as well as its implication for safe and effective practices. In view of the challenges faced by mental health nurses in tackling the problem of aggression and violence in acute settings, I would like to identify the legal frameworks or policies supporting the use of physical restraint as an intervention and whether there is suitable training for staff. Background. ...
Download paper

Summary

Effectiveness and safety of physical restraint in managing violence and aggressive behaviour in acute psychiatric settings Introduction Management of violent and aggressive behaviour in acute psychiatric settings is a reality for mental health nurses, and physical restraint does represent one of the open options for them (Hollins and Stubbs, 2010)…
Author : eddie76

Related Essays

Violence Towards Mental Health Workers
This paper underlines the need of identification of effective approaches to worker assault in the clinical workplace, particularly the necessary responses, programs and interventions that can reduce or prevent both patient violence and its adverse effects on mental health workers. Violence towards staff members who work as mental health professionals has received considerable attention over the years. Assaults against mental health workers caused by their psychiatric patients are a great concern as its outcomes have adverse outcomes on the victim. While some professionals assert that violence...
20 pages (5020 words) Research Paper
Managing Patient safety
The person on whom the medication/ treatment is administered is harmed, and the person who recommends, performs or prescribes the use of the treatment is at fault (MAC, 2010). Each year more than 98, 000 individuals have fatal outcomes medical errors. The errors may arise as a result of doing the wrong treatment wrong treatment, going ahead with the treatment with insufficient information, or due to inefficient processes. About 10 to 20 % of the medical errors are as a result of errors in prescription of drugs or known as ‘medical errors’ (Patel, 2004). The cost of medical errors are very...
11 pages (2761 words) Assignment
Managing Patient Safety Report
This risked the life of a patient, and a subsequent cardiac event killed him as a result (Sullivan and Ferriter, 2008). The aim of this report is to examine this event in detail and determine what could have been changed to prevent this happen, and to decrease the likelihood of a similar event happening in the future. Patient Safety Advances in knowledge and technology have created a system of healthcare that is highly successful, and able to effectively treat a wide range of conditions. However, these factors have also led to the growth of the complexity of the healthcare system. This is an...
12 pages (3012 words) Research Paper
Managing Patient safety
(I.O.M, 1999). Harm occurs if a patient’s quality of life or health is negatively affected by any element of their interaction with health care. This would be as a result of patient safety incident, which is any healthcare related event that is unexpected, unintended, and undesired and which could have or did harm the patients. It is, therefore, upon the NHS to ensure high standard, as well as safe clinical care is maintained and make sure they are in line with the current technology. According to the department of health, patient safety needs to be prioritized, as far as health care system...
11 pages (2761 words) Essay
Pharmacology Effectiveness of streptokinase in Acute Miocardial Infarction
The administration of aspirin and heparin before the treatment will increase the survival rate. Introduction: Acute myocardial infraction is the breakdown of the heart muscles due to the lack of oxygen supply. The shortage in oxygen supply is caused by the collection of lipids at the heart muscles. This creates a block in the blood vessels resulting in ischemia and if left untreated it results in infraction of the myocardial cells. The risk factors of acute myocardial infarction (AMI) are cardiovascular disease, tobacco smoking, older age, kidney diseases, blood pressure, excessive alcohol...
8 pages (2008 words) Research Paper
Etical Dilema in acute care/critical care settings .
Experts might struggle between competing ethical regulations, but their choices are idyllically made after a well guided dialogue and framed in the circumstance of patients’ belief systems and preferences. The ethical dilemmas experienced by nurses in practice are nerve-racking since the correct course of act is doubtful. Nurses go through ethical distress when saddened from offering what is best or paramount for a sick person (Zuzelo, 2007). Organizational, societal, medical, individual or familial constraints might limit nurses’ capabilities of providing the therapies, medications and...
3 pages (753 words) Assignment
The Management of Restraint and Seclusion for Aggression in Psychiatric Patients in Inpatient Units
Although initially nonviolent, Jane turned aggressive during normal sampling for tests and punched the nurse who was collecting samples for the tests. On becoming excessively aggressive, the patient was secluded and further restraint to minimize harm to her, her loved ones and the facilities’ staffs and other clients. However, these interventions are rather controversial and the family members opposed their use just as health care and legal professionals and the public continue to question their therapeutic capacities. Consequently, their use is questioned and opposed in equal measures....
9 pages (2259 words) Essay
Got a tricky question? Receive an answer from students like you! Try us!