Literature review physical restraint

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Aggressive behavior is understood to mean using actual physical violence toward self, others, or property, or making specific imminent verbal threats. Despite organizations' guidelines advocating limitations of seclusion or restraints as much as possible, 6 data in the United States and Europe show that 10 percent to 30 percent of patients from adolescent and young adult to elderly admitted to acute psychiatric units receive these interventions. Although dementia is frequently associated with aggression and the use of seclusion and restraints, 13 individuals with dementia are often managed in chronic care settings; a separate report is covering this evidence. Several factors underscore the significance of the decision to use seclusion or restraints.
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Pros and Cons of Physical Restraint

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Physical restraint | definition of physical restraint by Medical dictionary

This article discusses the pros and cons of physical restraint of ICU patients during critical illness. The debate about physical restraint of ICU patients during their critical care stay has been going on for many years. In some countries, such as the UK, it is considered an unacceptable practice Bray et al. In other countries across Europe, such as France De Jonghe et al. In the USA practice guidelines to facilitate the safe application of physical restraint methods have been published Maccioli et al. While the views of nurses and other healthcare staff on physical restraint have been examined, those of the patient and family on its use are sadly lacking.
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physical restraint

Relatively little is known about the prevalence of manual restraint to manage violent or challenging behaviour in hospital psychiatric services or the circumstances of its use. This review identified 45 empirical studies of manual restraint of adult psychiatric inpatients, mostly from the UK. On average, up to five episodes per month of manual restraint might be expected on an average bed ward.
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