Preview

Inpatient Psychiatric Restraints

Good Essays
Open Document
Open Document
394 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Inpatient Psychiatric Restraints
Concerns related to the absence of trauma informed care practices on an inpatient psychiatric unit. Observation of some staff members quickly resorting to restraints as the first intervention during an escalation of a patient. Inadequate training of staff on how to de-escalate patients. Failure to use least restrictive alternatives as a primary option.
Deficit in knowledge/understanding on how to de-escalate a patient.

The metrics that would be used to evaluate this clinical problem would be the number of restraints episodes on used on the unit on a daily basis.

External evidence is a fact that is collected and believed to be true outside an organization. It is “generated through rigorous research and is intended to be generalized to and

You May Also Find These Documents Helpful

  • Good Essays

    It is easy to just follow along with the laws and rules of the health care system; however, a nurse must advocate for the patients. In the case of dealing with an individual with mental health issues that requires treatment; it is necessary that a nurse provide resources that could benefit the patient and their family. Not only did this book, greatly and positively impact the nursing care that one provides, it also showcases how skewed the healthcare/mental system is. This system is focused on the laws, that are focused on the rights of the patient, and therefore fail to note that some patients with psychological issues, lack the insight or judgment to make informed decisions. The three categories to involuntary detain someone only help a small population. What about someone that is wandering the streets talking to themselves, clearly needs help, and is made fun of by the community. This person is labeled by society as “Crazy”, yet because they are not a danger to themselves, not a danger to others, or gravely disabled, they can continue to roam the streets without treatment. The healthcare/mental health system, is greatly influenced by the legal/justice system. The legal/justice system is also skewed, as this system focuses on the rights of the patient, and fails to address what is medically best for the individual. There is a disconnect with what is medically correct, as…

    • 1093 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    This requirement is applicable in general hospitals or any facility providing hospital services, or practice setting, including the emergency room department but still only applies to patients whose chief compliant is emotional, behavioral, or substance abuse. A patient entering the emergency room with an injury whose secondary complaint is depression or a patient receiving an appendectomy with a history of major depressive disorder, safety goal 15 is not directly applicable and these numbers do not need to be reported to the Joint Commission (Adamski, 2007). Psychiatric hospitals are required to conduct a more detailed screening and assessment as appropriate for every admission.…

    • 1985 Words
    • 8 Pages
    Powerful Essays
  • Better Essays

    Observation is one way in which mental health nurses can protect acutely mentally ill inpatients from harm and is commonly implemented for patients who impose a risk of harming themselves, others and for those who are vulnerable (Bowers et al, 2006). Tim, who was on a local male acute ward, posed a risk of harming himself and became very vulnerable during his stay. On admission he was perceived to be at low risk of harming himself and vulnerability, therefore was observed on the minimum level of observation, general observation, which includes all patients and involves an hourly eyesight check on the patient (DH, 1999; NICE, 2005).…

    • 2576 Words
    • 11 Pages
    Better Essays
  • Powerful Essays

    Saying psychiatric hospital facility policies need to improve significantly is an understatement. During my eight-day stay at Clarion Psychiatric Center, located in western Pennsylvania, was one of the worst experiences in my life. I know staying in a psychiatric center wasn’t a life or death situation but, the horrid experience was certainly a catalyst to my reoccurring nightmares. Hitherto, I still have nightmares of being sent back to the psychiatric center. While I was there, I could have almost nothing. No electronics whatsoever with the exception of hospital telephones designated for patient use which were turned off during “group time.” I was not allowed to have the supplies I needed to complete my school work thus, I had to withdraw…

    • 2532 Words
    • 11 Pages
    Powerful Essays
  • Good Essays

    Corrections Task Force

    • 1267 Words
    • 6 Pages

    Staff/personnel who are dealing with mentally ill patients need to be trained in many different areas to become effective in each patient’s life. The staff members need to fully understand the clinics policies, plans, and programs that have been put into place for the safety and protection of all patients and staff members. With there being more than 200 types of mental illnesses, the staff needs to know and understand the different types of symptoms and disorders so that they can properly handle each individual per clinic policy (Mental Illness and the Family: Recognizing Warning Signs and How to Cope, 2013). Support groups have been proven as a useful tool for therapy, and patients need a support network either through staff/personnel, other patients, or outside sources such as friends and family. Staff members need to be helpful and considerate with each patient, each having the understanding that they can have a positive or negative effect on each individual. Showing respect to each patient will help remove any stigma that may be in place, allowing patients to fully trust the staff without any unnecessary walls of defense or feelings of threat. Communication amongst staff members has been known to help with potential safety issues. Staff members must log any patient misbehavior or any strange or unusual…

    • 1267 Words
    • 6 Pages
    Good Essays
  • Good Essays

    The medieval times brought us men in shining armor and women captured by dragons for those knights to rescue. It also brought upon the dark ages which unfortunately risen the popularity of the lunatic (insane) asylums. In those days, people who were determined to be mentally ill were given a place to stay where they were treated for their illness. In todays’ society we have gone away from institutionalizing individuals because of mental illness and looked toward alternative ways of treatment most notably by prescribing psychiatric medication. This tactic was implemented to put the mentally ill back out onto the street and minimize the overcrowding that was happening in the institutions. Today most of the “asylums” have been shut down and for some reason most of the mentally ill are being housed in our state and federal prisons.…

    • 1190 Words
    • 5 Pages
    Good Essays
  • Better Essays

    From viewing the American Psychiatric Nurse Association (APNA), this paper presents divergent views on the topics of seclusion and restraints in which I am seeking to prove that ethical principles do not morally uphold psychiatric patient’s rights constitutionally as well as the engagement of unjust practices seen in improving patient outcomes.…

    • 650 Words
    • 3 Pages
    Better Essays
  • Satisfactory Essays

    This third of the prison population that was placed in solitary confinement, one day may be released into society and asked to be socialized, when they were never rehabilitated, but rather segregated. The correctional facility is furthering the damage to inmate’s that are already psychologically unstable and furthering dissocializing these inmates, then releasing them. We would not even put animals in a situation where they would be isolated from others, because we understand the importance of socializing, but we do it to inmates and define it as humane and are confused why recidivism is so high. Solitary confinement without rehabilitation will lead to more issues, rather than solutions. Caging what society defines as animals, then isolating…

    • 130 Words
    • 1 Page
    Satisfactory Essays
  • Satisfactory Essays

    Imagine alone in a dark hole for twenty-three hours a day, no one to talk to, to look at, or anything to do and with the exception of food, that is what Solitary Confinement entails. Solitary confinement is a controversial form of punishment used in the prison. Prisoners who are placed in Solitary Confinement will spend up to twenty-three hours a day in a cell without human contact except prison staff. Solitary Confinement should not be in the prison system because it drives people to suicidal thoughts, and also causes insanity and want to do more harmfull things to more people.…

    • 316 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    People are put in solitary confinement for a number of different reasons, but the most common ones are for those prisoners with mental illness. They are put in solitary confinement so that prison officials have an easier time dealing with their difficulties and dangers. This, however, is not the way to deal with mentally ill prisoners. The effects that solitary confinement has on a person reduces their quality of life down to absolutely nothing and they would be better off getting the electric chair. Solitary confinement is not an effective way of imprisoning humans because it does not accomplish the goal of prisons which is to reform prisoners to be a successful member of society.…

    • 1228 Words
    • 5 Pages
    Good Essays
  • Satisfactory Essays

    Interventions in the emergency room are inadequate because most victims often times do not end up having to seek treatment with physical abuse. Once a victim comes into the emergency room seeking treatment, the abuse has been present for a while and there is more to the story. It then makes it difficult for the intervention to occur because nurses and doctors not knowing the full story of the victim and may make false assumptions. It is useful when victims make regular visits to the doctor and that is when the intervention may be more affective.…

    • 638 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    Solitary Confinement

    • 1010 Words
    • 5 Pages

    The New York State prison system has been using solitary confinement in an unacceptable way. In New York, the prison systems are slowly changing their ways of solitary confinement and are placing incapable inmates in confinement. The changes for solitary confinement have been long overdue. The prison system overuses the power of putting at risk inmates in solitary confinement for an unreasonable amount of time.…

    • 1010 Words
    • 5 Pages
    Good Essays
  • Better Essays

    Mentally Ill in Prison

    • 1374 Words
    • 6 Pages

    MONAGHAN, P. (2004). Madness in maximum security. The Chronicle of Higher Education, 50(41), A.14-A.16. Retrieved from http://search.proquest.com/docview/214687880?accountid=34899…

    • 1374 Words
    • 6 Pages
    Better Essays
  • Good Essays

    Mental Incarceration

    • 471 Words
    • 2 Pages

    Many people get incarcerated for many reasons, some may be for small incidents while others is for major ones. Few cases are not the person's fault, but it can't be the same for others. Some incarcerated people won't know they have a mental disability, because their families may not notice what is going on until it is too late and they become prisoners. There is a possibility it wasn’t their fault, but they wouldn’t know until they are in trial and start rotting in their cell instead of getting the help they deserve.…

    • 471 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Bigwood, S. and Crowe, M. (2008) he talked about the environmental issues impact on the practice of physical restraint mental health nurses need to practice it with as much care and humanity as possible. There is no significant differences in levels of stress were found in nurses from different…

    • 50 Words
    • 1 Page
    Satisfactory Essays