Physical examination of patients postrestraint on psychiatric inpatient units
Evidence regarding medical practice post physical restraint is limited. As doctors working in the 2gether NHS Foundation Trust, we propose one particular approach to examining patients following a restraint, taking into account those patients at higher risk of injury. 2gether NHS Foundation Trust is the mental health trust which covers Gloucestershire and Herefordshire, covering several in-patient facilities; as such we have based our proposal on local policies. We shall explore the evidence behind the risks of restraint, and best practice for managing the patient during proceedings. It is vital to ensure that necessary restraints are conducted in the safest manner, with monitoring in place to ensure patient safety, particularly as there are often patient and environment-related factors complicating clinicians' ability to examine the patient following the restraint. We feel that following a review of current guidance regarding physical examination post-restraint, we are still left with a number of questions regarding best practice. We believe that guidance on what constitutes a physical examination post physical restraint is absent and that this is an area of potential future research. We outline recommendations for assessment of a patient in the short time following the procedure.
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Document Type: Review Article
Publication date: April 1, 2016
More about this publication?
- Published twice a year, the Journal of Psychiatric Intensive Care is devoted to issues affecting the care and treatment of people with mental disorders who manifest severely disturbed functioning. The journal is international and multidisciplinary. It provides stimulating papers and articles of interest to those who work in or study psychiatric intensive care, low secure services, acute inpatient wards, challenging behaviour environments, emergency psychiatry, or intensive treatments settings in other parts of the wider mental health system. The Journal of Psychiatric Intensive Care encourages informed debate and exchange of opinion. Its content includes editorials, original research, brief reports, reviews, conference reports, news and notices, but preference is given to original research of a high scientific quality.
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