![]() ![]() 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, in some cases, death. Seclusion limits freedom of movement because, although the patient is not mechanically or chemically restrained, they cannot leave the area. 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 a 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 physical devices (such as a tie wrist device), chemical restraints, or seclusion. An order from a health care provider is required to implement a restraint, and agency policy must be strictly followed. However, restraints restrict mobility and can affect a client’s dignity, self-esteem, and quality of life every possible measure to ensure safety should be considered before a restraint is implemented. While restraints are typically used in acute care settings, they may be used in some circumstances in long-term care settings for safety purposes. A restraint is a device, method, or process that is used for the specific purpose of restricting a patient’s freedom of movement. Restraints are devices used in health care settings to prevent patients from causing harm to themselves or others when alternative interventions have not been effective. ![]()
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