(10) Part II will also address regulatory mechanisms to obtain informed consent and reduce
chemical restraints among children, nursing home residents, and individuals with developmental and intellectual disabilities.
Those nurses reporting alternative strategies prior to restraint application used communication for reorientation, assessed for potential causes of agitation, administered analgesics, and used
chemical restraint. Patients who remained agitated continued to be restrained and, in most cases, nurses reported restraints were not discontinued until the patient was demonstrably calm and cooperative for two hours.
Chemical restraint refers to the use of drugs for sedation and anesthesia.
Relatives describing antipsychotic medication use in this manner felt it was the RAC facility rather than the person with dementia who benefited as one participant described: 'They used to talk at the home quite often that they resisted any physical restraint or
chemical restraint but you know, with the moods Mum used to have, sometimes she was chemically sedated or chemically restrained' (P2).
Table 1 Federal regulatory definitions of 'restraint' Physical restraint Any manual method, physical or mechanical device, material, or equipment that immobilizes or reduces the ability of a patient to move his or her arms, legs, body, or head freely
Chemical restraint A drug or medication when it is used as a restriction to manage the patient's behavior or restrict the patient's freedom of movement and is not a standard treatment or dosage for the patient's condition Source: Reference 2 * Neither regulatory definition of restraint is limited to psychiatric patients; both definitions and the accompanying regulations on restraint apply to any patient in a hospital eligible for federal reimbursement.
Chemical restraint uses medication to control behavior or restrict an individual's freedom of movement.
The nurse resorted to giving the patient a
chemical restraint, which calmed the patient and protected them from harm, with no adverse outcome.
To a number of experts in
chemical restraint and the sedation of agitated patients, the black box warning is highly controversial, he said.
The appropriate dose of each drug to produce standing
chemical restraint or sternal recumbency was evaluated based on the onset time, the duration of maximum effect, and the duration of sedation.
(1972) has recommended
chemical restraint and anaesthesia for diagnosis, therapeutic procedures and surgical interventions in snakes.
Codes Not used Used occasionally but not in last week Used during last week, but not daily Used daily Restraint types Chair that prevents rising Trunk restraint Limb restraint Bed rails used for restraint purposes Any type of
chemical restraint Environmental modification (e.g.
The definition of physical restraint used herein is, "Bodily force designed to limit a student's freedom of movement." We excluded mechanical devices (cuffs, straps, etc.),
chemical restraint (psychotropic medications), and seclusion/timeout (separate and locked or closed space away from class) from our analysis.
