AussieRN

Where possible different types and strengths of medication should be used to reduce agitation, however in the event the patient is still so agitated that he is a risk to himself, then as a nurse I would be satisfied restraint was needed. Most places do or should have protocols on their safe use and the guidelines and all care taken. Other options should also be considered where possible eg confine to a small area with limited furnishings (a mattress on the floor ideally), reduced stimuli/light and sometimes the presence of a close family member can help. No one likes restraining patients but we want the patient to be safe when going through this painful process. Michelle

Hi there, I am a Nurse Unit Manager of a busy inpatient psych unit. I don't have any specific resources but in writing policies like this it is wise to remeber that despite repeated presentations, each admission is a separate entity, BPD patients can still suffer clinical depression, this is often overlooked due to their history. I do think a guidelines/management plan is definatley needed and my view is that long term inpatient treatment is not desireable. I have found these patient's seem to do well in long term psychotherapy/counselling with a person who knows how to manage them well. Contracting with voluntary patients can also be useful and even a condition of their admission. Michelle