Nurses Safety
Published Feb 5, 2014
Hey everyone im doing a project on Restraints and was wondering if i can get some oppinions on what you guys think about chemical and physical restraints.
my question is
Chemical Restraint VS Physical Restraint and what would be better used?
Esme12, ASN, BSN, RN
1 Article; 20,908 Posts
It's only the language that's confusing. Medications need to be given when appropriate, and necessary to treat symptoms.Old Joe sitting in front of the nurses station, keeps asking for more pudding. He's agitated, yelling, swearing; he may benefit from a low dose anxiolytic. If he's merely being repetitive and the staff snows him "to shut him up", that's not therapeutic, but it is a chemical restraint.Calm but needy patient? "Mary, if you come up to the desk one more time, You're getting a shot!". Or, she keeps turning the Tv too loud, so you give a shot "because she won't follow the rules." Both cases are non therapeutic chemical restraints. If someone is acutely psychotic, you treat the psychosis. That's not a case of convenience or discipline. It's intended to induce a therapeutic response. In this case, it's a therapeutic measure, not a restraint.
Old Joe sitting in front of the nurses station, keeps asking for more pudding. He's agitated, yelling, swearing; he may benefit from a low dose anxiolytic. If he's merely being repetitive and the staff snows him "to shut him up", that's not therapeutic, but it is a chemical restraint.
Calm but needy patient? "Mary, if you come up to the desk one more time, You're getting a shot!". Or, she keeps turning the Tv too loud, so you give a shot "because she won't follow the rules." Both cases are non therapeutic chemical restraints.
If someone is acutely psychotic, you treat the psychosis. That's not a case of convenience or discipline. It's intended to induce a therapeutic response. In this case, it's a therapeutic measure, not a restraint.