Physical Restraints And Nursing Homes : Clinical Ethical Considerations By Chris Gastmans And K Milisen

1096 Words Nov 15th, 2015 5 Pages
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The article I have chosen for the purpose of this essay is “Use of physical restraints in nursing homes: clinical-ethical considerations” by Chris Gastmans and K Milisen. The ethical dimension of care is an essential part of good nursing practice, and ethical reflection is necessary for nurses to come to thoughtful and balanced decisions. Critical reflection on what constitutes good care is required in everyday care, but even more so in ethically charged situations such as those requiring physical restraint (Goethals, Casterle & Gastmans, 2012)

Summary:

According to the paper physical restraints is defined as “any device, material or equipment attached to or near a person’s body and which cannot be controlled or easily removed by the person and which deliberately prevents or is deliberately intended to prevent a person’s free body movement to a position of choice and/or a person’s normal access to their body” Examples of physical restraints are vests, straps, belts, bedside rails and wheelchair bars. The article states that it is frail elderly that are most likely to be restrained, and factors such as incontinence and the inability to independently perform activities of daily living increased this risk. Also older people that had a psychiatric diagnosis or cognitive impairment, were bedridden, exhibited disruptive behaviour, or were accessed as being at risk of falling. There are many reasons for restraining people which is to maintain the safety of the…

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