Category list : Patient restraint
Stories with this category.
Attending a conference on reducing restrictive practice earlier this week, I found it difficult to hear stories of patient deaths and injuries as a result of restraint.
The number of injuries to staff while trying to restrain patients at mental health trusts in England has risen by 300 in a year, reversing a previous trend, latest data has revealed.
Verbal aggression, such as personal insults, name-calling, and discriminatory remarks, by patients is linked with a higher level of anger among mental health nurses than physical violence, according to UK researchers.
A Yorkshire trust is leading the way nationally in eliminating face down restraint from its inpatient wards, following the introduction of nurse-led training for all staff that focuses on defusing difficult situations.
The prison service is struggling to meet the health needs of the increasing number of older people living and dying in jail, leading to “unacceptable examples of poor care”, according to a watchdog report.
People with mental health problems should be involved in preventing violent behaviour and get a “debrief” after any incident that involved them being restrained or sedated, suggest proposals.
The use of physical restraint for mental health patients has increased by almost 17% in the past three years, according to an analysis by the Liberal Democrats.
Having enough registered nurses on a hospital ward may reduce the use of patient restraining devices, according to a US study.
Reducing need to restrain vulnerable patientsSubscription
The Department of Health’s 2014 guidance on appropriate and safe use of restraint for patients who are vulnerable emphasises that it should only be used as a last resort
‘I hate the idea of restraining patients’Subscription
Do you have any advice for this student nurse?
DH launches new controls on patient restraint Subscription
New guidance to stop the “outdated” and potentially “dangerous” use of physical restraint on care patients have been launched by the Department of Health.
A mental health nurse and two healthcare assistants have won a fight to clear their names after being fired over restraining a patient.
The use of physical restraint in psychiatric hospitals has been widely reported after the publication of a report by the mental health charity MIND on the use of the practice in England.
Is physical restraint over-used?Subscription
Nearly 40,000 incidents of physical restraint on mental health patients in England were recorded in one year - with more than 3,000 in the “dangerous” face-down position - according to figures released by Mind.
More people with learning disabilities are being cared for in services that have failed regulatory standards on safeguarding than in services that have met them, with the use of restraint the biggest cause of concern.
Winterbourne View nurses jailedSubscription
Two nurses who admitted wilfully neglecting patients with learning disabilities at Winterbourne View hospital have been jailed.
We must ensure the wrongs of Winterbourne View are righted, says Jim Blair
The government should consider banning the use of certain forms of restraint on patients with learning disabilities, a review into failings surrounding the abuse of patients at Winterbourne View has recommended.
Nurses among Winterbourne View guiltySubscription
Eleven people, including two nurses, have now pleaded guilty to ill treatment of patients at Winterbourne View hospital for people with learning difficulties.
Living with Alzheimer's: deserving of careSubscription
My father loves listening to music and when I arrived to see him last weekend he was listening to Rod Stewart.
Living with Alzheimer's: fulfilling a wishSubscription
My father may have Alzheimer’s but he hasn’t lost his sense of humour!
Living with Alzheimer's: accessing supportSubscription
My father doesn’t recognise me anymore.
These e-learning resources from the Social Care Institute for Excellence are freely available to all. They provide audio, video and interactive technology to assist with working with older people in care homes.
Despite guidelines recommending less coercive methods, physical restraint is still commonly used in many UK mental health settings.
Ethical issues in patient restraintSubscription
How to use the “four-quadrant” approach to analyse different restraint situations
Minimising the use of restraint in care homes for older people: exploring restraintVideoSubscription
In this programme, two experts watch and discuss a number of scenarios filmed in a care home setting which explore different aspects of the complex issue of restraint. They examine the blatant and more subtle ways that restraint can be used by care home staff to control and how this fails to provide person-centered care.
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.
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.
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.
Our resident American nurse Sara Morgan wonders why the UK, with such a focus on patient safety, considers even minimal restraint unacceptable?
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.