Posted on May 12, 2011.
Isolation and containment of the child and adolescent mental health care Introduction
parameters of mental health care presents a series of challenges, especially when patients are children and adolescents. One of these controversial issues is the use of seclusion and restraint. Many practitioners of nursing to find it extremely difficult to try to balance the civil rights of the child or adolescent patient and the patient's needs as a consumer of health care. When most people think of retirement and retention, they think it's a form of punishment, neglect, violence, institutional or custodial care. However, some cases require its use and if used the right way, it can even be considered a form of therapy.
However, to place restraint and seclusion in residential mental health care, it is imperative to understand its definition. Huckshorn (2004) defines restraint as a form of intervention aimed at limiting freedom of movement. Isolation of a part refers to the establishment of an individual in a neighborhood can be a lonely room, unit or any other form of detention which ensures that the patient's interactions are limited. Usually, physical restraint or seclusion is necessary when a child or young person is patient with acute disorders behvaioral. At this stage, it is necessary to protect the safety of people around the patient, facing the disruption of behavior and to propose alternative therapies. These goals are achievable at the request of restraint or seclusion.
Statistics show that a series of children and adolescents have been physically restrained in psychiatric institutions. However, media reports and research also indicate that some deaths have occurred as a direct result of this form of treatment. These statistics have caused much debate on the issue especially since it is a series of professionals, family members and other stakeholders in health care. There is evidence to suggest that some psychiatric institutions have a tendency to isolation and restraint as claimed excessive Donat (2003). The author also argues that the use of this form of intervention for children and adolescents is a sign of quality health care or supervision from the government. Consequently, he believes the government should intervene to ensure the safety of children and adolescents is preserved.
Risk assessment leading nurses to enclose or restrict a child or adolescent
Seclusion and restraint are used mainly in nursing practice to prevent children and adolescents to be injured, their colleagues in psychiatric facilities or personnel of the institution. This is particularly the case where the patient has painted signs of violence and aggression. Therefore, nurses and school staff must be trained in this area, because if they were applied incorrectly, it could cause serious harm to the patient or the workers themselves.
Curie (2005) suggests that whenever psychiatric institutions choose to use seclusion and restraint, they place themselves at serious risk of injury. In addition, they place the rights of the patient adolescent or young patient at risk. It is important to remember that isolation and restraint may cause emotional damage in patients with mental health and promote the need for an evaluation of the method. Children and adolescents have a right to dignity in health care just the way their adult counterparts do.
Given these concerns, some risks may require this type of approach to the delivery of mental health care for children or adolescents. Firstly, where the patient's medical needs have been clearly assessed and it was found that seclusion and restraint are the most appropriate methods of action. Glover (2005) explains that this method s.