| Beyond emergencies: the use of physical restraints in medical and psychiatric settings. | |
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MedLine Citation:
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PMID: 21080773 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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Physical restraints, such as locked-door seclusion and two- or four-point leather restraints, are frequently used in both the medical and psychiatric settings. Efforts are currently under way to reduce the use of physical restraints in psychiatric settings; various institutional, state, and federal policies are place. However, using these same restraints in the context of providing medical care for psychiatric patients is more complicated, as it is uncertain which principles and regulations apply in a particular setting. For example, is the restraint governed by the policies that regulate the psychiatric application of restraints, by those that regulate the medical application of restraints, or by both? This article reviews the principles and regulations governing the use of restraints on psychiatric patients, with specific attention to the use of restraints in providing medical treatment to that patient population. Also addressed are general principles of risk management to help avoid negative outcomes and to reduce the risk of litigation for unauthorized or unlawful restraint. A case example is used to illustrate these concepts. |
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Authors:
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Anna Glezer; Rebecca Weintraub Brendel |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Harvard review of psychiatry Volume: 18 ISSN: 1465-7309 ISO Abbreviation: Harv Rev Psychiatry Publication Date: 2010 Nov-Dec |
Date Detail:
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Created Date: 2010-11-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9312789 Medline TA: Harv Rev Psychiatry Country: England |
Other Details:
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Languages: eng Pagination: 353-8 Citation Subset: IM |
Affiliation:
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Harvard Medical School, Department of Psychiatry, Massachusetts General Hospital, Boston, MA 02114, USA. aglezer@partners.org |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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