SECLUSION AND RESTRAINTS

Alternatives to Reduce Seclusion and Restraints in a Psychiatric Hospital



Alternatives to Reduce Seclusion and Restraints in a Psychiatric Hospital

Introduction

The Seclusion and restraints of psychiatric patients has been the subject of clinical discussion and legal action. The literature reports that the concentration of violent patients in hospitals has aumentado1. The research focused on the frequency of use of Seclusion and restraints is limited. A review of the literature prepared by the New York State Office of Mental Health found that the rate constraint and Seclusion and restraint varied from 0.4 to 66% in patients over 36 articles revisados3. The restriction and Seclusion and restraints are effective in preventing injury and reduce agitation and it is almost impossible develop a program for many symptomatic individuals without some form of Seclusion and restraints or restriction. In general, do not viewed items clear distinctions between the use of physical restraint and isolation? Seclusion and restraints is seen by some as a violation of basic human rights. Some historically associated concepts of punishment, power and control, while others see it as necessary for proper treatment of violence. Doctors, however, consider a useful therapeutic modality in cases. As a method of intervention treatment of aggressive behavior in psychiatric patients, the insulation replaced mechanical restraint in the early nineteenth century, and today continues to be used in the world whole. The purpose of this narrative review of the literature is to provide some guidelines for the evaluation and aggressive treatment of patients through the use of seclusion in mental health units and give some suggestions for use in clinical psychiatric practice locally appropriate.

Discussion

General principles, indications and precautions for the proper use of Reduce seclusion and restraints Among the indications or reasons for initiating the reduction seclusion and restraints is as fundamental prevention of harm to self or others, also found, though perhaps with less relevance, prevention of damage to property and the odd behavior or dissociated. Reduce seclusion and restraints leads to a risk must be taken into account, should be used when a clinical trial of medical staff, less restrictive interventions have been inadequate or are inappropriate. In populations special as children, adolescents, elderly and disabled should be especially careful and evaluate the clinical need for the use of Reduce seclusion and restraints and restriction (Tarantella, 2002).

The APA defines as general principles in its guidelines for the use of Reduce seclusion and restraints to provide a psychiatric treatment in a safe environment for patients and staff who serves. However, in the same guide warns that as the restriction is procedures that involve a degree of risk and should be used when other interventions less restrictive have been inadequate or is not appropriate. Reduce seclusion and restraints are an intervention that requires medical advice. Once the doctor must review and have appropriate monitoring and patient care during the event, patients should be observed at frequent intervals sufficient to ensure safety and provide humane care, and health personnel should be trained and demonstrate competence in the ...