Category list : Patient restraint
Stories with this category.
It is arguable that the association of restraint with people who have severe mental health difficulties may cloud appreciation of its widespread use in other areas of nursing. The focus of this article will be on the use of restraint within a care setting for older people. This is an area of practice for which the RCN developed specific guidelines in 1999. The issues in the article are generic and the principles may apply to a variety of care settings.
Nurses in neurosurgical settings often have to manage confused, agitated, uncooperative and sometimes aggressive patients who may attempt to leave the safety of the ward, climb out of a bed or chair, or remove tracheostomy tubes, invasive drains and intravenous or central lines. These behaviours can severely compromise patient safety.
Physical intervention on psychiatric inpatient units remains a highly controversial ethical issue. The recent highly publicised inquiry into the death of David ‘Rocky’ Bennett (Norfolk, Suffolk and Cambridgeshire Special Health Authority, 2003) and the recommendations that were generated from it have again thrown the use of restraint into sharp focus for health care staff.
Nurses under pressure to use restraintsSubscription
Nurses often turn to patient restraints because of pressure from managers to reduce falls, according to Hong Kong researchers.
Patient restraint under scrutinySubscription
With ‘unacceptable’ patient restraint once again the focus of public attention, Helen Mooney highlights gaps in current guidance
The government has launched a consultation to review guidance on safeguarding vulnerable adults. Nerys Hairon highlights the main points for nurses
Our resident American nurse Sara Morgan wonders why the UK, with such a focus on patient safety, considers even minimal restraint unacceptable?
UK nurses do care deeply about patient safety – which is why they don’t use restraining vestsSubscription
Frances Healey on the use of restraint vests and why the UK is lucky to have avoided introducing them.
Restraining someone can stop them living the life they would choose. But by getting to know a care home resident, staff can achieve that delicate balance between the duty to care with the need to protect. This video explores how staff can make decisions to minimise the use of restraint.
Minimising the use of restraint in care homes for older people: creative approaches VideoSubscription
This video argues that care homes should re-examine their customs and practices to find new and creative ways to support residents to achieve the lives of their choice and to minimise the use of restraint.