type of restraint
What is the term for using prescribed drugs to manage severe agitation or aggression in emergency situations?
chemical restraint
This principle, often violated by restraints, emphasizes a patient’s right to make their own decisions.
autonomy
What mental health consequence might patients experience due to restraints that reminds them of past trauma?
retraumatization
Staff often experience this negative emotion after implementing restraint measures.
guilt
Name one de-escalation technique recommended before resorting to restraints.
crisis management, talking through emotions, or moving to a quieter area
What type of restraint involves the use of the physical environment to control a person's actions?
environmental restraint
Restraints should always be used as this, according to ethical guidelines.
last resort
Name one physical consequence of using physical restraints on patients.
deep vein thrombosis (DVT), skin lesions, or nervous system damage
Many staff report a lack of this type of support after restraint events
emotional
Psychiatric wards with well-trained staff report these two benefits regarding the use of restraints.
reduced frequency and fewer adverse effects
What is the type of restraint that physically restricts a patient's movements, such as using straps or belts?
physical restraint
This is the primary justification staff must provide when using restraints, as required by legal guidelines.
documented rationale for safety or clinical necessity
Patients often view restraints as punitive, leading to feelings of this.
worthlessness or shame
After a restraint event, staff report experiencing this, but often find limited avenues to discuss it.
emotional distress
Before implementing restraints, staff are encouraged to try this type of intervention to de-escalate situations
crisis management or de-escalation techniques
Using the physical setup of a space, such as locked doors or barriers, to restrict movement is categorized as this type of restraint.
environmental restraint
Restraints conflict with this key ethical principle, requiring healthcare providers to respect patient choices.
autonomy
Patients have reported this emotional state as a reaction to being ignored by staff prior to restraint.
frustration
Many staff cite this as a reason for continued reliance on restraints despite their negative impacts.
staff shortages or lack of alternatives
Name one reported benefit of having well-trained staff in psychiatric wards
reduced frequency of restraints or improved patient outcomes
This type of restraint involves isolating a patient in a locked or confined space.
seclusion
Ethical challenges with seclusion often involve balancing therapeutic care and this need.
controlling behaviour
Patients have stated that this, when done by staff, helps alleviate some of the emotional burden of restraint.
clear communication or calm interaction
Many staff report this, a positive feeling, when restraint is avoided successfully due to effective interventions
relief
This is a patient-centered approach that allows individuals to document their preferences regarding restraint use.
advanced care directives