How to Answer Kimberly Thank Your Questions (Complete Guide)
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Kimberly, Thank you for your post. I agree that we should care for legal and ethical aspects of restraints. Moreover, the patient’s safe the most priority. The Mental Health Units (Use of Force) Act of 2018 defines physical restraint in mental health care as the use of physical contact designed to limit, restrict, or suppress the normal mobility of any portion of the patient’s body. Despite the danger of bodily injury from being physically restrained, nurses framed the use of restraints as a way of prioritizing patients’ physical safety. They referred to contextual factors as the main reasons for their application (Via-Clavero, et al., 2019). Sharifi et al. (2021) reported physical restraint (PR) is a routine care measure in many hospitals to ensure patient safety. However, it is related to many unique professional, legal, and ethical challenges. The guidelines and principles have been led in some countries for proper PR use. Physical restrain must be used only by trained healthcare providers, with the consent of patients or their family members, with standard devices and safe techniques, based on clear guidelines, and under close managerial supervision. Besides, older adults with PR should constantly be monitored for PR-related complications. The current study can help develop clear PR-related guidelines. References Azam Sharifi, Narges Arsalani, Masoud Fallahi-Khoshknab, & Farahnaz Mohammadi-Shahbolaghi. (2021). The principles of physical restraint use for hospitalized older adults: an integrated literature review. Systematic Reviews, 10(1), 1-10. https://doi.org/10.1186/s13643-021-01676-8 UK Public General Acts. (2018). legislation.gov.uk. Mental Health Units (Use of Force) Act 2018. UK Public General Acts Via-Clavero, G., Sanjuán-Naváis, M., Romero-García, M., de la Cueva-Ariza, L., Martínez-Estalella, G., Plata-Menchaca, E., & Delgado-Hito, P. (2019). Eliciting critical care nurses’ beliefs regarding physical restraint use. Nursing Ethics, 26(5), 1458-1472. Hi, Blessing Thank you for the informative post. Informed consent and obtaining consent for most treatments is a process necessary. However, uncertainty is commonly expressed regarding what informed consent implies and when and how informed consent is needed. You may engage in your healthcare by providing informed consent. It allows you to choose the treatments you wish to undergo or not. When a healthcare provider, such as a doctor, nurse, or another healthcare professional, (Kadam,2017). explains treatment to a patient before the patient agrees to it; this is known as informed consent. This kind of communication allows the patient to inquire and accept or refuse medication. If someone declines to provide their consent, you must respect their preferences — respect, rights, and choice are all elements of person-centered care. Ethical and legal considerations are crucial in practice for a mental health practitioner. Before procedures and treatments, each patient has the right to get information and ask questions. Excellent communication about risks and options, patients can make choices that are best for them, and physicians face less risk of legal action. Consent must be voluntary, competent, and informed to be considered legal consent. The patient came into the procedure fully, knowing the expectations and outcomes. Even though research confirms that exposure therapy is efficacious, safe, tolerable, and bears minimal risk when implemented correctly, there are unique ethical considerations, especially with children (Gola et al., 2016). Developing ethical and exposure therapy for youth is an important and highly relevant area that may assist with the effective generalization of these principles. Regarding the role of caregivers in consent for minor participation in health research, maybe a positive move in clarifying the proper position for caregivers when enrolling minors in research (Eshetu et al., 2016). References Eshetu Worku, Arlene Davis, & Brenda Morrow. (2016). A critical review of health research ethical guidelines regarding caregiver consent for HIV research involving minors in South Africa: Ethical and legal issues. South African Journal of Bioethics and Law, 9(2), 78. https://doi.org/10.7196/SAJBL.2016.v9i2.458 Gola, J. A., Beidas, R. S., Antinoro-Burke, D., Kratz, H. E., & Fingerhut, R. (2016). Ethical Considerations in Exposure Therapy with Children. Cognitive and Behavioral Practice, 23(2), 184-193. https://doi.org/10.1016/j.cbpra.2015.04.003 Kadam, R. A. (2017). Informed consent process: A step further towards making it meaningful! Perspectives in Clinical Research, 8(3), 107-112. https://doi.org/10.4103/picr.PICR_147_16 PDF https://eds.p.ebscohost.com/eds/pdfviewer/pdfviewer?vid=2&sid=4e581fa1-4517-46f5-830f-79753f70ee22%40redis Proofreading for me. thank you.
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