Annotated Bibliography Prepared by Steve Gunn
نویسنده
چکیده
This statement defines physical restraint and provides recommendations for its use in children and adolescents. Mechanical restraint and physical holding are described. The primary focus of the statement is on mechanical restraint. Recommendations: Explain the procedure to the child; physician's order is used; when intervention is used, communicate in writing to parents; physical assessment. It is a source for training materials. To subscribe, send a blank email to [email protected]. This statement of principles were provided to member organizations to provide the basis for a review of current policies. Restraint and seclusion are defined as emergency interventions that aim to protect patients in danger of harming themselves or others. This is an overview of issues related to restraint in residential settings with children. The author draws from the classic literature of Redl, Wineman and Trieschman. He covers the functions of restraint; limit-setting, containment, and planned holding therapy. The final section covering problems with restraint is clearly stated summary of the issues facing those who provide twenty-four hour care for disturbed children. There is a section on the practical difficulties of low staff ratios, inadequate training and the increasing difficulty of the children referred for such care. The negative impact of holding on staff is discussed, including the impact on staff turnover. In conclusion, the author finds restraint a necessary, but difficult procedure with potential therapeutic benefits.
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