Category list : Patient restraint
Stories with this category.
The government has launched a consultation to review guidance on safeguarding vulnerable adults. Nerys Hairon highlights the main points for nurses
Patient restraint under scrutinySubscription
With ‘unacceptable’ patient restraint once again the focus of public attention, Helen Mooney highlights gaps in current guidance
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.
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 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.
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.