Use of Restraints in Mental Health

2891 Words12 Pages
Abstract In recent years, many countries around the world have successfully managed to reduce the use of restraint in mental health facilities. This investigation aims to research the various effects that restraint may have on mental health clients and the alternative interventions that can be utilised by nurses and other health care staff. In order to investigate these topics, keywords were entered into a comprehensive database and a variety of literature from a wide range of years was critically analysed. Both opposing and supporting views on the use of restraint were taken into account and used in this investigation. Research found that there were both negative effects as well as positive outcomes from the use of restraint however the negative effects far outweighed the positive outcomes. Common negative effects include: skin abrasions, bruising, incontinence, depression, loss of dignity, humiliation and feelings of abandonment. However some articles outlined that the use of restraint could actually lead to better quality of life for clients after treatment, regardless o the negative effects they may have endured. The investigation also found that the use of alternative interventions can be useful in many situations and can often be used to de-escalate the situation and minimise the use of restraints. Alternative interventions found included: offering food, drinks and a warm blanket, administering medications, changing the clients environment and simply conversing with the client, developing trust and involving them in their own care. The findings of this investigation and research support that nurses and other staff should be educated about the various effects that the use of restraints may have on clients and the various alternative interventions that can be utilised in order to de-escalate aggressive and agitated clients. Minimising the use of restraints in
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