Restraint and Seclusion in Psychiatry in the Elderly: Review of the Literature
Journal: Annals of Depression and Anxiety (Vol.2, No. 2)Publication Date: 2015-04-17
Authors : Jerome Palazzolo;
Page : 1-8
Keywords : Restraint; Seclusion; Review;
Abstract
Objective: The authors reviewed the literature published since 1965 concerning restraint and seclusion. Methods: The review began with a computerized literature search. Further sources were located through citations from articles identified in the original search. Results: The authors synthesized the contents of the articles reviewed using the categories of indications and contraindications; rates of seclusion and restraint as well as demographic, clinical, and environmental factors that affect these rates; effects on patients and staff, implementation; and training. Conclusion: The literature on restraint and seclusion supports the following: 1) Seclusion and restraint are basically efficacious in preventing injury and reducing agitation. 2) It is nearly impossible to operate a program for severely symptomatic individuals without some form of seclusion or physical or mechanical restraint. 3) Restraint and seclusion have deleterious physical and psychological effects on patients and staff, and the psychiatric consumer/ survivor movement has emphasized these effects. 4) Demographic and clinical factors have limited influence on rates of restraint and seclusion. 5) Local nonclinical factors, such as cultural biases, staff role perceptions, and the attitude of the hospital administration, have a greater influence on rates of restraint and seclusion. 6) Training in prediction and prevention of violence, in self-defense, and in implementation of restraint and/or seclusion is valuable in reducing rates and untoward effects. 7) Studies comparing well-defined training programs have potential usefulness.
Other Latest Articles
- MITIGATION OF POWER QUALITY PROBLEMS USING DYNAMIC VOLTAGE RESTORER (DVR)
- FPGA VERIFICATION OF MODIFIED REPETITIVE CONTROLLER FOR A POWER QUALITY CONDITIONER
- REDUCTION OF SWITCHING LOSS IN GRID-CONNECTED INVERTERS USING A VARIABLE SWITCHING CYCLE
- The Role of Temperament and Parental Style in Predicting Desire Thinking and Anger Rumination
- The Impact of Kolaviron (A Bioflavonoid of Garcinia Kola Seed) On Depression Status in Laboratory Rodents: Roles of Monoaminergic Systems
Last modified: 2016-06-06 19:58:45