Furthermore, immobility that results from the use of restraints can cause pressure injuries, contractures, and muscle loss. A restrained person has a natural tendency to struggle and try to remove the restraint and can fall or become fatally entangled in the restraint. Seclusion limits freedom of movement because, although the patient is not mechanically restrained, they cannot leave the area.Īlthough restraints are used with the intention to keep a patient safe, they impact a patient’s psychological safety and dignity and can cause additional safety issues and death. It is generally used as a method of discipline, convenience, or coercion. It is important to note that the definition states the medication “is not standard treatment or dosage for the patient’s condition.” Seclusion is defined as the confinement of a patient in a locked room from which they cannot exit on their own. The Joint Commission defines chemical restraint as a drug used to manage a patient’s behavior, restrict the patient’s freedom of movement, or impair the patient’s ability to appropriately interact with their surroundings that is not standard treatment or dosage for the patient’s condition. Restraints include mechanical devices such as a tie wrist device, chemical restraints, or seclusion. See Figure 5.6 for an image of a simulated patient with restraints applied.įigure 5.6 Restraints Used in a Psychiatric Setting A restraint is a device, method, or process that is used for the specific purpose of restricting a patient’s freedom of movement without the permission of the person. Restraints are devices used in health care settings to prevent patients from causing harm to themselves or others when alternative interventions are not effective. Open Resources for Nursing (Open RN) Definition of Restraints
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