The medical practitioner providing the patient’s care is ultimately responsible
ID: 126212 • Letter: T
Question
The medical practitioner providing the patient’s care is ultimately responsible for the decision to restrain a patient. However, the decision to use restraints should not occur in isolation. It involves a process of request, assessment, team involvement and consent within an ethical and legal framework. A restraint is a device or medication that is administered for the purpose of restricting the movement and/or behaviour of a person.
Determine the limitations and legal ramifications of the following forms of restraint (in 40-60 words each):
Chemical,
Physical,
Psychological,
Explanation / Answer
Chemical restraints - these are used to sedate the patient using drugs, in order to prevent them from harming themselves and others.
The nurse or the treating practitioner should have a thorough knowledge of different drugs, route, action, administration and dosage.
It requires a written clear instruction from the treating medical practitioner.
Is used to minimise harm.
It is ensured for the safety of the patient.
Chemical restraints are to be applied only if the patient becomes aggressive or violent
It should be done only in case of emergency
legal - Needed doctors clear written consent and instruction before administering a drug
Patient has the right to charge personal tort and abuse
Consent of the patient should be taken
If not possible, the legal guardian of the patient should give consent to administer the drug to restain
Physical Restraints - a physical restraint can be anything that limits the body movement.
It is not be used as a method of punishment or for the staff's convenience
Restraint should be used only if the patient is at the risk of getting injured self or others ( falls, agitation, aggressiveness)
Restraint should be for a short period.
It focuses to keep the patient safe.
Should get written consent from the treating doctor.
Follow a Patient-Centred Approach while taking this step.
Legal -- Patient has the right to raise physical assault and abuse. be sure to keep the signed consent from patient and doctors side to avoid legal complication.
Psychological restraints- are using power or authority to make the person under control to obey what the treating person want.
It involves in withholding the participating in programs or activities.
Psychological restraint is based on therapeutic purpose and is a part of a treatment plan.
It is not restraining the patient from clothes, communication or shelter.
legal - It requires doctors approval
Consent to be taken from the patient itself if possible. If not, the legal guardian should give the consent on behalf of the patient.
Patient has the right to charge the staff for controlling the mind and body ( psychological abuse, tort, refusing human right)
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