Wednesday, May 6, 2020

Reduction Of Patient Restraint Samples †MyAssignmenthelp.com

Question: Discuss about the Reduction Of Patient Restraint And Seclusion. Answer: The current study focuses on the concept of reduction of patient restraint and seclusion in healthcare settings through the appropriate application ofnursing ethics and code of practices. The restraints are applied within a hospital set up with the primary belief of promoting patient safety and well-being. The restraints could be defined as any manual method physical or mechanical device which reduces the potential of a person to move their bodies. It is particularly used with physically weak patients or the ones with reduced cognitive abilities. Thus without proper constraint or measures, the patients are in a risk of haring themselves and others. However, a number of ethical constraints and limitations are faced in the application of restraints within a hospital and care set up. In this respect, the American nurses association strongly supports the participation of registered nurses in reducing the seclusion of patients within a hospital set up. This is in lieu to thenursing ethics and code of practices which promulgates empowerment and right to dignity to the patients. As mentioned by Martin et al. (2008), the patients need to be made a compulsory part of the decision-making and care designing process. Therefore, the participation of the patients and their respective families in the decision-making process helps in prevention of arguments within a clinical setup. Dilemmas are a constant part ofnursing care and practices whereby thenursing profession or the healthcare worker looking after the care concerns of the patients are often restrained to exercise their wishes owing to certain physical and mental barriers. The physical barriers may prevent free movement and participation in daily life activities of the patients. Additionally, some of the patients may be suffering from impaired cognition and decision-making abilities such as in dementia. Therefore, the nursing or the healthcare professional looking after the care needs of such patients often have to face greater level of challenges from the patient and the family members of the patient. The nurses have been often found to struggle with their responsibility of maintaining the rights and freedom of the patient. The restraint is justified when dealing with patient expressing difficult behaviour in the form of psychotic delirium. Therefore, such moments call for immediate restraining measures to be applied by the nurses. The restraints may also be applied where the patient has a history of falling. Therefore, application of preventive measures can help in the prevention of injury within the hospital settings. As argued by Martin et al (2008) lack of knowledge and unconditional demand from the family members of the patients often makes application of the nursing codes of practices dif ficult. As per the code of federal regulations (2006), the registered nurse in the care of a restrained patient expressing violent behaviour needs to be guided by other registered or general professionals. References: Martin, A., Krieg, H., Esposito, F., Stubbe, D. and Cardona, L., 2008. Reduction of restraint and seclusion through collaborative problem solving: a five-year prospective inpatient study. Psychiatric Services, 59(12), pp.1406-1412.

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