The use of mechanical restraint as a means to manage the violent and/or self-injurious behaviour of psychiatric patients remains controversial, due primarily to this practice restricting freedom, and often being implemented against the patients will (Georgieva et al. Abstract. The ethics of restraint The following example illustrates the application of ethical principles in practice. Anne Martin (not her real name) is 87 years old and has senile dementia. Thus, for restraints to be ethical they must be the least liberty-restricting means of achieving that aim. Ethical issues in patient restraint. The themes can, ⦠This article examines the ethical issues that arise in relation to restraint in mental health, dementia care and stroke care. She has been a resident in a care setting for older people for three years, after becoming unable to cope at home because of short-term memory loss and confusion. The best ethical justification for restraining patients is that it prevents them from harming themselves. Often applied in intensive care units with patients experiencing agitation and insufficient sedation, physical restraint techniques are advised for prevention of self-harm and unplanned extubations. We argue that even if the empirical evidence supported their effectiveness in achieving this aim, the use of restraints would nevertheless be unethical, so long as well-known exceptions to ⦠The best ethical justification for restraining patients is that it prevents them from harming themselves. restraints that are intended to protect the older adult. involuntary admission, seclusion, restraint) is a complex ethical dilemma in psychiatric care. Despite the lack of evidence for the effectiveness of physical restraints, their use in patients is widespread. Author information: (1)International Centre for Nursing Ethics, University of Surrey. The ethical dilemma was whether to use physical restraints for the client to prevent further harm or whether to go with the clientâs wishes. Ethical and Legal Issues In nursing and medical ethics, restraining a client always presents a difficult question. The application of such restraint poses difficult ethical questions as to when, how, and under what conditions the choice not to be restrained can be honored by nurses and the families of patients whose physical safety is at risk. BMC Psychiatry 12:54, 2012). Discussion of ethical principles surrounding restraint use. In practice, however, there is significant variability in use and many patients across the ⦠INTRODUCTION: Physical restraints are common devices used to reduce a patientâs mobility. The use of patient restrictions (e.g. When they observed that patient was not calmed, they used chemical restraining with haloperidol and medaziolam injection along with 4.0 physical restraints to limit her mobility and to get her aggression under control. Gallagher A(1).
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